Active NPI
Jonetta Podmanik, RDH
- Dental Hygienist
- Mesa, AZ
National Provider Identifier
1821446154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 6485
- Practice address
- 5835 E Still Cir
Mesa, AZ 85206-3618 - Phone
- (480) 248-8187
- NPI assigned
- May 26, 2016
- Last updated
- May 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 6485 | AZ | Primary |
Addresses
Primary practice location
5835 E Still Cir
Mesa, AZ 85206-3618
Mailing address
1413 E Kent Ave
Chandler, AZ 85225-1506
Phone (602) 510-1892
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6485 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1821446154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 E KENT AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251506",
"telephone_number": "602-510-1892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 E STILL CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618",
"telephone_number": "480-248-8187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODMANIK",
"first_name": "JONETTA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "6485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- PNC Podiatry of Arizona PC (Desert Foot & Ankle)
- PNC Podiatry of Arizona PC
- Becky Lynne Pockl, N.P.
- Podiatric Physicians Management
- Podiatric Physicians of Arizona, Inc. (Arizona Institute of Footcare Physicians)
- Aruna Divakaran Poduval, MD
- Susan Andrea Pogue
- Point North Therapeutic Serivces, PLLC (Point North Therapy)
- Julia Ellen Poirier, DMD, MS
- Theresa Pol, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.