Jsam LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

009451 Issued in CT

Legal business name

JSAM LLC

Practice address

420 E Main St Ste 3-17
Branford, CT 06405-2942

Phone

(203) 488-6553

Fax

(203) 481-6691

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John D Michalak, D.M.D.

Title

Owner Dentist

Phone

(203) 488-6553

Specialties & licenses 1

Addresses

Tax ID family

John D Michalak Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jsam, LLC

  • Dentist
  • Branford, CT
  • NPI 1861779373
  NPD tax ID

Locations

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1407288350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST STE 3-17",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052942",
            "telephone_number": "203-488-6553",
            "fax_number": "203-481-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST STE 3-17",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052942",
            "telephone_number": "203-488-6553",
            "fax_number": "203-481-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "MICHALAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "203-488-6553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "009451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Pretak, LCSW, LLC
• Jasmin Marcel Joiner
• Jolanta Maryanska Therapy, LLC
• Barry Steven Josephs, D.D.S.
• Hannah Joyner, OTR/L
• Jsam, LLC
• Hannah Jurewicz, LPC, MED, MA, CCDP
• Christina Kalogeris
• Mark S Kasper, MD
• Kate McDonough Ms, CCC-SLP, LLC

• Dental Clinic/Center in Branford, CT
• Providers in Branford, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.