Individual provider Active NPI

Janna Cheryl McIntosh, DDS

  • Pediatric Dentistry
  • McAlester, OK
National Provider Identifier
1770655656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5023 Issued in OK
Practice address
329 West Carl Albert Parkway
McAlester, OK 74501
Phone
(918) 423-2897
Fax
(918) 423-0905
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5023 OK Primary

Addresses

Primary practice location

329 West Carl Albert Parkway
McAlester, OK 74501

Mailing address

329 West Carl Albert Parkway
McAlester, OK 74501
Phone (918) 423-2897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5023OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
McAlester Regional Health Center Authority Past Accepting new patients
McAlester Children's Dental Clinic Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770655656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 WEST CARL ALBERT PARKWAY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "74501",
            "telephone_number": "918-423-2897",
            "fax_number": "918-423-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 WEST CARL ALBERT PARKWAY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "74501",
            "telephone_number": "918-423-2897",
            "fax_number": "918-423-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JANNA",
        "middle_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • 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.