Organization Active NPI

Jake M Juhl DDS

  • General Practice Dentistry
  • Garden City, KS
National Provider Identifier
1336209287
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAKE M JUHL DDS
Practice address
2045 E Labrador Blvd
Garden City, KS 67846-3996
Phone
(620) 260-2183
Fax
(620) 260-2188
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Mrs. Sheila Juhl
Title
Office Manager
Phone
(620) 260-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2045 E Labrador Blvd
Garden City, KS 67846-3996

Mailing address

2045 E Labrador Blvd
Garden City, KS 67846-3996
Phone (620) 260-2183

Other names 1

  • Jason M Juhl, DDS Other name

National Provider Directory

National Provider Directory

Locations

2045 E Labrador Blvd
Garden City, KS 67846
Phone (620) 260-2183

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1336209287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 E LABRADOR BLVD",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463996",
            "telephone_number": "620-260-2183",
            "fax_number": "620-260-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 E LABRADOR BLVD",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463996",
            "telephone_number": "620-260-2183",
            "fax_number": "620-260-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE M JUHL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "JUHL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-260-2183",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jason M Juhl, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.