Jet Dental of Indiana, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JET DENTAL OF INDIANA, LLC

Practice address

1005 E Lasalle Ave Ste 1a
South Bend, IN 46617-2818

Phone

(801) 430-9262

NPI assigned

Oct 1, 2025

Organization subpart

Yes

Parent organization

JET MANAGEMENT SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Brian DanielewiczNPI 1851460042

Title

Owner

Phone

(847) 240-1477

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Patrick Danielewicz, D.D.S.

  • General Practice Dentistry
  • Libertyville, IL
  • NPI 1851460042
  NPD Authorized official

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1235003385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E LASALLE AVE STE 1A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172818",
            "telephone_number": "801-430-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E LASALLE AVE STE 1A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172818",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DENTAL OF INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JET MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "DANIELEWICZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-240-1477"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris E Jensen, M.D.
• David Jentz, M.D.
• Michael James Jenuwine, PH.D.
• Dustin Daniel Jesch
• Margaret Ann Jessop, PSYD
• Jazmyn Jeter, RBT
• Jonathan Young Ji, M.D.
• James Ou Jin, M.D.
• Quanri Jin, M.D.
• Jiva United LLC

• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.