Individual provider Active NPI

Brian Jankowski, DMD

  • Endodontics
  • Louisville, KY
National Provider Identifier
1316505191
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
11093 Issued in KY
Practice address
134 Evergreen Rd Ste 201
Louisville, KY 40243-1486
Phone
(502) 200-5325
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 11093 KY Primary
Endodontics 1223E0200X 12014689A IN
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN32423 FL

Addresses

Primary practice location

134 Evergreen Rd Ste 201
Louisville, KY 40243-1486

Mailing address

134 Evergreen Rd Ste 201
Louisville, KY 40243-1486

Other practice location 1

2105 Weber Ave
Louisville, KY 40205-2110
Phone (502) 200-5325

Other practice location 2

15148 N Dale Mabry Hwy
Tampa, FL 33618-1817
Phone (813) 257-9500

Other practice location 3

2441 State St
New Albany, IN 47150-4962
Phone (812) 944-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250607000041 IN Order and Referring Only - DentistPractitioner - Dentist 8123538386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113036559922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Solutions LLC PastSince May 25, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1316505191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN RD STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN RD STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431486",
            "telephone_number": "502-200-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Weber Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402052110",
            "country_code": "US",
            "telephone_number": "502-200-5325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15148 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336181817",
            "country_code": "US",
            "telephone_number": "813-257-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2441 State St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504962",
            "country_code": "US",
            "telephone_number": "812-944-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "11093",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12014689A",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN32423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.