Active NPI
Brian Jankowski, DMD
- Endodontics
- Louisville, KY
National Provider Identifier
1316505191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 11093
- Practice address
- 134 Evergreen Rd Ste 201
Louisville, KY 40243-1486 - Phone
- (502) 200-5325
- NPI assigned
- Jun 5, 2019
- Last updated
- Aug 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 11093 | KY | Primary |
| Endodontics | 1223E0200X | 12014689A | IN | |
| Endodontics | 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
2441 State St
New Albany, IN 47150-4962
Phone (812) 944-7200
Other practice location 2
15148 N Dale Mabry Hwy
Tampa, FL 33618-1817
Phone (813) 257-9500
Other practice location 3
2105 Weber Ave
Louisville, KY 40205-2110
Phone (502) 200-5325
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250607000041 | IN | Order and Referring Only - Dentist | 8123538386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN32423 | FL | MD | Endodontist |
| 12014689A | IN | MD | Endodontist |
| 11093 | KY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dental Solutions LLC | Single Specialty | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": "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"
},
{
"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": "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"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.