Active NPI
Michael Janich, DDS
- General Practice Dentistry
- Paso Robles, CA
National Provider Identifier
1245334382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32644
- Practice address
- 717 Walnut Drive
Paso Robles, CA 93446 - Phone
- (805) 238-5334
- Fax
- (805) 238-6470
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32644 | CA | Primary |
Addresses
Primary practice location
717 Walnut Drive
Paso Robles, CA 93446
Mailing address
695 Olive Street
Morro Bay, CA 93442
Phone (805) 772-7517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D32644 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32644 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tolosa Childrens Dental Center | Past | Accepting new patients | |
| Partnership for the Children of San Luis Obispo Co | General Practice | Past | 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.
-
- Pediatric Dentistry
- Paso Robles, CA
- NPI 1033214283
General Practice
-
- Pediatric Dentistry
- San Luis Obispo, CA
- NPI 1295139590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245334382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 OLIVE STREET",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "93442",
"telephone_number": "805-772-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 WALNUT DRIVE",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "93446",
"telephone_number": "805-238-5334",
"fax_number": "805-238-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANICH",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "32644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D32644",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paso Robles, CA
Sources for this page
- 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.