Jessie Banks DDS PS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00010823 Issued in WA

Legal business name

JESSIE BANKS DDS PS

Practice address

1344 NE McWilliams Rd
Suite 130
Bremerton, WA 98311-3164

Phone

(360) 698-3242

NPI assigned

Jan 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jessie Banks, DDS

Title

Owner

Phone

(360) 698-3242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kitsap Kid's Dentistry Doing business as

Locations

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1780956227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 NE MCWILLIAMS RD",
            "address_2": "SUITE 130",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 NE MCWILLIAMS RD",
            "address_2": "SUITE 130",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113164",
            "telephone_number": "360-698-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE BANKS DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-698-3242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00010823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5053095",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitsap Kid's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Alice Jennings
• Samantha Jennings, FNP-C DNP
• Ann Leigh Jensen, MSW
• Sharon Jensen, DC
• Christian Jerry
• Jessica Lauchlin Jeu
• Silvia Jimenez
• Jimi James, PHD, Inc, PS
• Tanveer Johal, MD
• Martha Johaningsmeir, CMA

• Pediatric Dentistry in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.