Joel Jahimiak

Primary specialty

DentistTaxonomy code 122300000X

License

5851-15 Issued in WI

Practice address

419 E Broadway
Waukesha, WI 53186-5082

Phone

(262) 549-6850

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Practice roles

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.

• Complete Family Dentistry on Broadway

  dba complete family dentistry

  • General Practice Dentistry
  • Waukesha, WI
  • NPI 1174524425
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1689823379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E BROADWAY ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53186",
            "telephone_number": "262-549-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E BROADWAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865082",
            "telephone_number": "262-549-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHIMIAK",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5851-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanne Yvonne Jacobsen, M.S.P.T.
• Martha Jacobson, RN
• Megan Nicole Jacobson
• Danielle Jafuta
• Sarah Jaggernauth
• Karen Marie Jahimiak, D.D.S.
• Arthur E Jahn, DDS
• Patricia Rebecca Jahr
• Eric Michael Jakubowski, M.D.
• James a. Brostrom (Pain Care Radiology Services)

• Dentist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.