Active NPI
Jane Wallace Maisch, DDS
- Dentist
- Flint, MI
National Provider Identifier
1922170570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019092
- Practice address
- 5399 N Saginaw Street
Flint, MI 48505-4426 - Phone
- (810) 785-0863
- NPI assigned
- Nov 15, 2006
- Last updated
- May 7, 2008
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019092 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jane W Maisch DDS PLC | Current | 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.