Organization Active NPI

J Eric Janaszak DMD

  • Dentist
  • Port Orchard, WA
National Provider Identifier
1073524138
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
J ERIC JANASZAK DMD
Practice address
10407 SE Olympiad Dr.
Port Orchard, WA 98366
Phone
(206) 715-9391
NPI assigned
Aug 11, 2006
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Dr. Joesph Eric Janaszak, DMD
Title
General Dentist
Phone
(360) 769-0667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WA Primary

Addresses

Primary practice location

10407 SE Olympiad Dr.
Port Orchard, WA 98366

Mailing address

PO Box 4063
South Colby, WA 98384
Phone (206) 715-9391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1073524138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4063",
            "city": "SOUTH COLBY",
            "state": "WA",
            "postal_code": "98384",
            "telephone_number": "206-715-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 SE OLYMPIAD DR.",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "206-715-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J ERIC JANASZAK DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "JANASZAK",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "360-769-0667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.