Mark Jankowski, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6676 Issued in CO

Practice address

3601 S Clarkson St
Suite #330
Englewood, CO 80113-3944

Phone

(303) 762-0621

NPI assigned

Aug 10, 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

Medicare fee-for-service enrollment

Enrolled in CO

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

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306857065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST",
            "address_2": "SUITE #330",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133944",
            "telephone_number": "303-762-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST",
            "address_2": "SUITE #330",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133944",
            "telephone_number": "303-762-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "6676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamshid Mirzaei MD PC
• Allison Janedis
• Janette L. S. Javier, M.D. PC
• Beth Ann Jankowski, PA
• Lindsey R Jankowski, PA-C
• Jeremy R Jannuzzi, D.M.D, M.D.
• Ronald William Jaques, DDS
• Emily Margaret Jaramillo, LCSW
• Jacob Tyler Jarreau, PA
• Kaitlin Jarrell, RBT

• Periodontics in Englewood, CO
• Providers in Englewood, CO by specialty
• Periodontics in Colorado

• 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.
• 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.