Justin Jarisch, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60035384 Issued in WA

Practice address

1811 Army Blvd
Fort Sam Houston, TX 78234

Phone

(210) 221-0826

NPI assigned

Sep 16, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1316196280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 ARMY BLVD",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342686",
            "telephone_number": "210-221-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 ARMY BLVD",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-221-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARISCH",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60035384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Michelle Jaeger, M.D.
• Alicia Marie Jaks, RN
• Adam J James, DNP, CRNA
• Luke Jameson
• Luke S Janowiak, DO
• Erica Jarmer
• Gary Joseph Jarvis, CRNA
• David Malcolm Jeffalone Jr., DDS
• Kristine Jeffers, MD
• Thomas C. Jefferson, MD

• General Practice Dentistry in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.