Active NPI
Jack Edward Juni, M.D.
- Nuclear Medicine Physician
- Canton, MI
National Provider Identifier
1376725184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 4301046408
- Practice address
- 7444 N Haggerty Rd
Canton, MI 48187-2437 - Phone
- (248) 640-9849
- Fax
- (734) 207-3446
- NPI assigned
- Dec 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 4301046408 | MI | Primary |
Addresses
Primary practice location
7444 N Haggerty Rd
Canton, MI 48187-2437
Mailing address
7444 N Haggerty Rd
Canton, MI 48187-2437
Phone (248) 640-9849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301046408 | MI | MD | Nuclear Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1376725184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7444 N HAGGERTY RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481872437",
"telephone_number": "248-640-9849",
"fax_number": "734-207-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7444 N HAGGERTY RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481872437",
"telephone_number": "248-640-9849",
"fax_number": "734-207-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNI",
"first_name": "JACK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MI",
"license": "4301046408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.