Kathryn L Jagow, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60363985 Issued in WA

Legal business name

KATHRYN L JAGOW, DDS

Practice address

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

Phone

(425) 776-2323

Fax

(425) 775-3494

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Kathryn Jagow, DDSNPI 1578904108

Title

Owner

Phone

(425) 776-2323

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Lynn Jagow, D.D.S

  • Dentist
  • Mountlake Terrace, WA
  • NPI 1578904108
  NPD (past) Authorized official
• Danielle Jo Marlett, DDS

  • General Practice Dentistry
  • Mountlake Terrace, WA
  • NPI 1215617766
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1801340187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22905 56TH AVE W STE 101",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433925",
            "telephone_number": "425-776-2323",
            "fax_number": "425-775-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22905 56TH AVE W STE 101",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433925",
            "telephone_number": "425-776-2323",
            "fax_number": "425-775-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN L JAGOW, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "JAGOW",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-776-2323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60363985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caitlin Anne Kahn, DPT
• Diane M Kalvelage, ARNP
• Stephanie Kang, D.M.D
• Sharla Ann Keeling, RPH
• Keith K Ly, DO, P.S.
• Danielle Kelley
• Matthew Patrick Kelley, DDS
• Kelly Knickerbocker Arnp PLLC

• General Practice Dentistry in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.