Individual provider Active NPI

Brittney Ann Jasek, DMD

  • Dentist
  • Highland, IN
National Provider Identifier
1477903813
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012503A Issued in IN
Practice address
2327 45TH St
Highland, IN 46322-2602
Phone
(219) 924-1193
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012503A IN Primary

Addresses

Primary practice location

2327 45TH St
Highland, IN 46322-2602

Mailing address

2327 45TH St
Highland, IN 46322-2602
Phone (219) 924-1193

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

State licenses

LicenseStateTypeSpecialty
12012503AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Ivory Dental Studio CurrentSince Jul 2, 2023 Accepting new patients

Locations

1906 US Highway 41
Ste A
Schererville, IN 46375
Phone (219) 554-8679

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1477903813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222602",
            "telephone_number": "219-924-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222602",
            "telephone_number": "219-924-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASEK",
        "first_name": "BRITTNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012503A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.