Organization Active NPI

Robert W. Jansen DDS & Associates PC

  • General Practice Dentistry
  • St. Johns, MI
National Provider Identifier
1245949221
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERT W. JANSEN DDS & ASSOCIATES PC
Practice address
923 N. Oakland Street
St. Johns, MI 48879
Phone
(989) 224-2968
Fax
(989) 224-2474
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Dr. Robert W Jansen, DDSNPI 1780664508
Title
President
Phone
(989) 292-0771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

923 N. Oakland Street
St. Johns, MI 48879

Mailing address

923 N. Oakland Street
St. Johns, MI 48879
Phone (989) 224-2968

National Provider Directory

National Provider Directory

Locations

923 N Oakland St
Saint Johns, MI 48879
Phone (989) 224-2968

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1245949221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 N. OAKLAND STREET",
            "city": "ST. JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "989-224-2968",
            "fax_number": "989-224-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 N. OAKLAND STREET",
            "city": "ST. JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "989-224-2968",
            "fax_number": "989-224-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. JANSEN DDS & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-292-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.