Active NPI
Jammie Tosevski, D.D.S.
- Pediatric Dentistry
- Conroe, TX
National Provider Identifier
1992092928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 27331
- Practice address
- 605 S. Conroe Medical Drive
Conroe, TX 77304-4722 - Phone
- (936) 539-4004
- NPI assigned
- Jun 28, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 27331 | TX | Primary |
Addresses
Primary practice location
605 S. Conroe Medical Drive
Conroe, TX 77304-4722
Mailing address
605 S. Conroe Medical Drive
Conroe, TX 77304-4722
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 |
|---|---|---|---|
| 27331 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1992092928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S. CONROE MEDICAL DRIVE",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 S. CONROE MEDICAL DRIVE",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722",
"telephone_number": "936-539-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOSEVSKI",
"first_name": "JAMMIE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "27331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.