Justin V Janik, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056699 Issued in NY

Practice address

576 Sand Creek Rd
Colonie, NY 12205-2434

Phone

(315) 269-7907

NPI assigned

Jul 5, 2012

Last updated

Aug 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1013272160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MILLER ST",
            "city": "ORISKANY",
            "state": "NY",
            "postal_code": "134245049",
            "telephone_number": "315-269-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 SAND CREEK RD",
            "city": "COLONIE",
            "state": "NY",
            "postal_code": "122052434",
            "telephone_number": "315-269-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIK",
        "first_name": "JUSTIN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia R Hertz
• Lorinda Hilmar, MASSAGE THERAPIST
• Bruce Edward Hunter, PHARM D
• Innovative Services Inc (LUX Infusion 9)
• Pelagie Jackson
• Dennis M Judd, PT
• Kristy Kaloyanides, PHARM.D.
• Lisa Kehoe
• Hyesuk Kim
• Nimrat K Kingra, RPH

• General Practice Dentistry in Colonie, NY
• Providers in Colonie, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.