Damian Jasik, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10869 Issued in SC

Practice address

2138 Highway 41
Mount Pleasant, SC 29466-6201

Phone

(843) 654-1857

NPI assigned

Feb 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Salt Lake Modern Dentistry, LLP

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1730647330
  NPD (past)

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1285380485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 HIGHWAY 41",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 HIGHWAY 41",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666201",
            "telephone_number": "843-654-1857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 E 2100 S Ste 3",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841062680",
            "country_code": "US",
            "telephone_number": "801-438-6355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASIK",
        "first_name": "DAMIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10869",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "13322891-9922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jarboe
• Bianca Jardin, PHD
• Erin Jarrett, RN
• Avery Lauren Jarvis
• Courtney Izzo Jarvis, PHARMD
• Jason S. Annan, DDS LLC
• JCRK Management Inc
• Jeffrey J. Gardner,DMD,PA
• Jaellene Nawehiuilani Jellico, FNP
• Jacqueline Joanne Jemsek, LPC, NCC

• Dentist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.