Milos R. Janicek, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

009888 Issued in CT

Practice address

70 Howard Street
Professional Endodontics
New London, CT 06320

Phone

(860) 447-2572

Fax

(860) 447-2638

NPI assigned

Feb 18, 2008

Last updated

Jul 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Professional Endodontics LL

  • Endodontics
  • New London, CT
  • NPI 1669751939
  Authorized official Same address or phone

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1497923981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HOWARD STREET",
            "address_2": "PROFESSIONAL ENDODONTICS",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-447-2572",
            "fax_number": "860-447-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HOWARD STREET",
            "address_2": "PROFESSIONAL ENDODONTICS",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-447-2572",
            "fax_number": "860-447-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICEK",
        "first_name": "MILOS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "RI",
            "license": "DEN03000",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "009888",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "21730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia R Jacobowitz, PTA
• Carmen Renee Jacobson, LMSW
• Mark S Jadofsky, PO1
• Christopher Jalbert, M.D.
• Erin C Janicek, LCSW
• Kayla Abigail Jean-Pierre
• Belendy Jean
• Jeffrey a Simpson MD LLC
• Jeffrey a Simpson, MD, LLC
• Emily Jennings, PHARMD

• Endodontics in New London, CT
• Providers in New London, CT by specialty
• Endodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.

Verify at the official NPI Registry.