Jamie L Neshkoff, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

017478-1 Issued in NY

Practice address

20991 Arsenal Street Rd
Watertown, NY 13601-4552

Phone

(315) 785-9620

NPI assigned

Oct 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Itagegnehou Gedamu DMD PLLC

  • General Practice Dentistry
  • Watertown, NY
  • NPI 1326704693
  NPD (past)

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507939200000",
    "number": "1699286807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 STOWE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671514",
            "telephone_number": "315-955-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20991 ARSENAL STREET RD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014552",
            "telephone_number": "315-785-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESHKOFF",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-14",
        "last_updated": "2017-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "017478-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Navarra, LMHC
• Mary E Navarra, MNT
• Joyce Reginah W Ndungu, NP
• Patrick R Neal, LMT
• Nephrology Associates of Watertown PC
• Theresa Netto, LMHC
• Karen C Nevills, NP
• Shannon Marie Nevin, LMT
• New Century Podiatry, PC
• New Concepts Obstetrics & Gynecology, PLLC

• Dental Hygienist in Watertown, NY
• Providers in Watertown, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; 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.