Janssen Dental Clinic S C

Primary specialty

DentistTaxonomy code 122300000X

License

3485 Issued in WI

Legal business name

JANSSEN DENTAL CLINIC S C

Practice address

2649 Development Dr
Green Bay, WI 54311-4240

Phone

(920) 983-8383

Fax

(920) 983-2862

NPI assigned

Aug 19, 2011

Last updated

Sep 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig B Janssen, DDSNPI 1568486751

Title

Owner

Phone

(920) 983-8383

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Bruce Janssen, D.D.S.

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1568486751
  Authorized official Same address or phone

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1295015444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 DEVELOPMENT DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114240",
            "telephone_number": "920-983-8383",
            "fax_number": "920-983-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 DEVELOPMENT DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114240",
            "telephone_number": "920-983-8383",
            "fax_number": "920-983-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANSSEN DENTAL CLINIC S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-983-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Janowski, NP
• Risa Lynn Janowski, M.S., L.P.C.
• Stephen J Janquart, MD
• Emma Lane Jansen
• Steven G Jansen, MSW
• Craig Bruce Janssen, D.D.S.
• John Peter Janssen, D.C.
• Pamela J Janus, OT
• Anthony J Jaslowski, M.D.
• Jasper Wellness Group LLC

• Dentist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.