Individual provider Active NPI

Patrick Edward Jankowski, D.D.S.

  • General Practice Dentistry
  • Lawrence, KS
National Provider Identifier
1609876002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60177 Issued in KS
Practice address
826 Iowa St
Lawrence, KS 66044-1783
Phone
(785) 843-9122
Fax
(785) 843-2202
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60177 KS Primary

Addresses

Primary practice location

826 Iowa St
Lawrence, KS 66044-1783

Mailing address

826 Iowa St
Lawrence, KS 66044-1783
Phone (785) 843-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20181129001816 KS Order and Referring Only - DentistPractitioner - Dentist 8921321548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Dental 2 LLC PastSince Jun 8, 2025 Accepting new patients
Jayhawk Dental LLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609876002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441783",
            "telephone_number": "785-843-9122",
            "fax_number": "785-843-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441783",
            "telephone_number": "785-843-9122",
            "fax_number": "785-843-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "PATRICK",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.