Janaya L Jansen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11626 Issued in IN

Practice address

230 S Main St
Kendallville, IN 46755-1718

Phone

(260) 347-5115

Fax

(260) 347-9098

NPI assigned

Jun 8, 2011

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jansen Family Dentistry, P.C.

  • General Practice Dentistry
  • Kendallville, IN
  • NPI 1952351264
  NPD
• CS Dental LLC

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1225330582
  NPD (past)
• LK Dental, LLC

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1902656556
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1689968588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SANDERS CREEK PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571307",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551718",
            "telephone_number": "260-347-5115",
            "fax_number": "260-347-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "JANAYA",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "11626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jansen & Jansen, D.C., Inc. (Jansen Family Chiropractic)
• Jansen Family Dentistry, P.C.
• Douglas A Jansen, DDS
• Gerard A. Jansen, D.C., L.AC.
• James S Jansen
• Thomas L. Jansen, D.C., F.A.C.O.
• Jones Family Dental, LLC (Jones Family Dental)
• Bridget Joseph
• Susan K Kamara, LMHC
• Rebecca M Kellett, BCBA

• General Practice Dentistry in Kendallville, IN
• Providers in Kendallville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.