Cynthia Jakusz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5490-015 Issued in WI

Practice address

N112W16760 Mequon Rd
Germantown, WI 53022-5814

Phone

(262) 255-7820

NPI assigned

May 16, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093922734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 BALL DR",
            "city": "RICHFIELD",
            "state": "WI",
            "postal_code": "530769515",
            "telephone_number": "262-644-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W16760 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225814",
            "telephone_number": "262-255-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUSZ",
        "first_name": "CYNTHIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5490-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy A Hurst, PT, DPT
• Joseph Allan Hylander, MD
• David Imse, M.D.
• Hafsa Imtiaz
• Indigo Bridge Care LLC
• Nina Jankins, PTA
• Callie J. Jarosch, OT
• Michelle Jens, PTA
• Jewel Food Stores Inc
• Jordan Johnson

• General Practice Dentistry in Germantown, WI
• Providers in Germantown, 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 Jul 8, 2007; 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.