Individual provider Active NPI

Jessica Leila Janton, DMD

  • General Practice Dentistry
  • Vernon, CT
National Provider Identifier
1194568014
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14117 Issued in CT
Practice address
50 Hale St
Vernon, CT 06066-3840
Phone
(860) 872-0794
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14117 CT Primary

Addresses

Primary practice location

50 Hale St
Vernon, CT 06066-3840

Mailing address

48 Brookmoor Rd
Tolland, CT 06084-2501
Phone (860) 335-2148

Other practice location 1

72 W Stafford Rd Unit A2
Stafford Springs, CT 06076-1082
Phone (860) 684-5296

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14117CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford Dental Associates LLC General Practice Past Accepting new patients
Dental Associates of Rockville LLC General Practice PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1194568014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BROOKMOOR RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842501",
            "telephone_number": "860-335-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HALE ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663840",
            "telephone_number": "860-872-0794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 W Stafford Rd Unit A2",
            "address_purpose": "LOCATION",
            "city": "Stafford Springs",
            "state": "CT",
            "postal_code": "060761082",
            "country_code": "US",
            "telephone_number": "860-684-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANTON",
        "first_name": "JESSICA",
        "middle_name": "LEILA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "14117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.