Individual provider Active NPI

Jane Wallace Maisch, DDS

  • Dentist
  • Flint, MI
National Provider Identifier
1922170570
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019092 Issued in MI
Practice address
5399 N Saginaw Street
Flint, MI 48505-4426
Phone
(810) 785-0863
NPI assigned
Nov 15, 2006
Last updated
May 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019092 MI Primary

Addresses

Primary practice location

5399 N Saginaw Street
Flint, MI 48505-4426

Mailing address

1013 Peppergrove Dr
Brighton, MI 48116-6795
Phone (517) 927-3725

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
2901019092MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jane W Maisch DDS PLC CurrentSince Jun 12, 2022 Accepting new patients

Locations

7241 Lansing Rd
Perry, MI 48872
Phone (517) 675-5134

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1210118400000",
    "number": "1922170570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 PEPPERGROVE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166795",
            "telephone_number": "517-927-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 N SAGINAW STREET",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485054426",
            "telephone_number": "810-785-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISCH",
        "first_name": "JANE",
        "middle_name": "WALLACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.