Jodi W Funk, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00001693 Issued in WA

Practice address

2829 S Grand Blvd
Ste 301
Spokane, WA 99203

Phone

(509) 747-4242

Fax

(509) 747-3512

NPI assigned

Nov 22, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Jodi W Funk

  • General Practice Dentistry
  • Spokane, WA
  • NPI 1235204181
  NPD (past) Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679648539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 S GRAND BLVD",
            "address_2": "STE: 301",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99203",
            "telephone_number": "509-747-4242",
            "fax_number": "509-747-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 S GRAND BLVD",
            "address_2": "STE 301",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99203",
            "telephone_number": "509-747-4242",
            "fax_number": "509-747-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "JODI",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00001693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF SOCIAL & HEALTH",
            "identifier": "5031091",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg L. Fullmer, AGNP-C
• Kurt D Fullmer, PA-C
• Megan Erin Funchess, RN
• Function First OT, PLLC (Function First OT)
• Jessica Fundin, LPN
• Clinton Lee Funkhouser, R.PH.
• Mark Alan Fuqua, LMSW
• Jillian Furey, LSW
• Kimberly A. Furman, BSW, CDPT
• Kaitlyn Furnish

• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.