Richard Jamnik, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12302 Issued in MI

Practice address

2711 Orchard Lake Rd
Keego Harbor, MI 48320-1446

Phone

(248) 682-0922

Fax

(248) 682-0940

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• John F Jamnik D.D.S.,P.C

  • General Practice Dentistry
  • Keego Harbor, MI
  • NPI 1972221679
  NPD (past)
• Orchard Lake Dental Care

  • Dentist
  • Keego Harbor, MI
  • NPI 1578264040
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285644377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 HIDDEN FOREST CT",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483591477",
            "telephone_number": "248-393-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 ORCHARD LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201446",
            "telephone_number": "248-682-0922",
            "fax_number": "248-682-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMNIK",
        "first_name": "RICHARD",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4050762",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Hinton
• Karin Jenkins Hofmann
• Home Resilience PLLC
• Michelle C Hubert, LMSW
• John Jamnik, D.D.S.
• John F Jamnik D.D.S.,P.C
• Keego Family Practice
• Keego Harbor Orthopedic
• Keego Harbor Urgent Care
• Lakeview Family Dental - Keego Harbor

• General Practice Dentistry in Keego Harbor, MI
• Providers in Keego Harbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.