Kathryn Lynn Jagow, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DENT.DE.60363985 Issued in WA

Practice address

22905 56TH Ave W
101
Mountlake Terrace, WA 98043-3925

Phone

(253) 266-8656

NPI assigned

Jul 11, 2013

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kathryn Lynn Cumbie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kathryn L Jagow, DDS

  • General Practice Dentistry
  • Mountlake Terrace, WA
  • NPI 1801340187
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1578904108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22905 56TH AVE W",
            "address_2": "101",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433925",
            "telephone_number": "425-776-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22905 56TH AVE W",
            "address_2": "101",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433925",
            "telephone_number": "253-266-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGOW",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.60363985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CUMBIE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Savana Isoph
• Esther Iwuoha
• Zachary Jackson, PTA
• Chad Lawrence Jacobs, PMHNP
• Karny Jacoby, MD
• Kasey Jahnke, LMFT
• Brittani James, LSWAIC
• Sierra Ryanne Jammerman
• Hannah Lauren Janabayev, DPT
• Jazmyn Janow

• Dentist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.