Karen Marie Jahimiak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

368915 Issued in WI

Practice address

419 E Broadway
Waukesha, WI 53186-5082

Phone

(262) 549-6850

Fax

(262) 549-2157

NPI assigned

Aug 19, 2011

Last updated

Aug 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Complete Family Dentistry on Broadway

  dba complete family dentistry

  • General Practice Dentistry
  • Waukesha, WI
  • NPI 1174524425
  NPD (past) Authorized official

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1063792216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E BROADWAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865082",
            "telephone_number": "262-549-6850",
            "fax_number": "262-549-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E BROADWAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865082",
            "telephone_number": "262-549-6850",
            "fax_number": "262-549-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHIMIAK",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "368915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33495600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Jacobson, RN
• Megan Nicole Jacobson
• Danielle Jafuta
• Sarah Jaggernauth
• Joel Jahimiak
• Arthur E Jahn, DDS
• Patricia Rebecca Jahr
• Eric Michael Jakubowski, M.D.
• James a. Brostrom (Pain Care Radiology Services)
• Jacquelyn James

• General Practice Dentistry in Waukesha, WI
• Providers in Waukesha, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.