Individual provider Active NPI

Janet Visanescu, D.M.D.

  • General Practice Dentistry
  • La Grange, KY
National Provider Identifier
1316080765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5708 Issued in KY
Practice address
120 E Adams St Ste 1
La Grange, KY 40031-1278
Phone
(502) 222-7874
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5708 KY Primary

Addresses

Primary practice location

120 E Adams St Ste 1
La Grange, KY 40031-1278

Mailing address

PO Box 470
La Grange, KY 40031-0470
Phone (502) 222-7874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20160512000742 KY Order and Referring Only - DentistPractitioner - Dentist 2365731437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316080765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400310470",
            "telephone_number": "502-222-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E ADAMS ST STE 1",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311278",
            "telephone_number": "502-222-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISANESCU",
        "first_name": "JANET",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.