Active NPI
Patrick Edward Jankowski, D.D.S.
- General Practice Dentistry
- Lawrence, KS
National Provider Identifier
1609876002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60177
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181129001816 | KS | Order and Referring Only - Dentist | 8921321548 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayhawk Dental 2 LLC | Past | 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.
-
- General Practice Dentistry
- Lawrence, KS
- NPI 1962513028
-
- Dentist
- Lawrence, KS
- NPI 1386538452
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.