Active NPI
Joseph S Janik, MD
- Pediatric Surgery Physician
- Glendale, AZ
National Provider Identifier
1003808932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 32078
- Practice address
- 5310 W Thunderbird Rd
Suite 110
Glendale, AZ 85306-4706 - Phone
- (602) 865-4065
- Fax
- (602) 865-6100
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 32078 | AZ | Primary |
| Pediatric Surgery Physician | 2086S0120X | 23753 | CO |
Addresses
Primary practice location
5310 W Thunderbird Rd
Suite 110
Glendale, AZ 85306-4706
Mailing address
5310 W Thunderbird Rd
Suite 110
Glendale, AZ 85306-4706
Phone (602) 865-4065
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0738820 | Other | AZ | BCBS |
| 539801 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1003808932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 W THUNDERBIRD RD",
"address_2": "SUITE 110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064706",
"telephone_number": "602-865-4065",
"fax_number": "602-865-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 W THUNDERBIRD RD",
"address_2": "SUITE 110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064706",
"telephone_number": "602-865-4065",
"fax_number": "602-865-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANIK",
"first_name": "JOSEPH",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "AZ",
"license": "32078",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "CO",
"license": "23753",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0738820",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539801",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.