Janah Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JANAH DENTAL PLLC

Practice address

1504 Aquarena Springs Dr Ste 110
San Marcos, TX 78666-7741

Phone

(830) 339-2007

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Senan Abd, D.M.D.

Title

Owner

Phone

(830) 339-2007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mermaid Dental Doing business as

Locations

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1720654239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 AQUARENA SPRINGS DR STE 110",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667741",
            "telephone_number": "830-339-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 AQUARENA SPRINGS DR STE 110",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667741",
            "telephone_number": "830-339-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANAH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "ABD",
        "authorized_official_first_name": "SENAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-339-2007",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBDE",
            "identifier": "30080",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mermaid Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayden Riley Jaco
• Randa Danielle Jacobsen, NP-C
• Arthur Ray Jacobson, MD
• Jairo L Bermudez MD, PA
• Shelby James, DPT
• Amanda Janevski, PT, DPT
• Scott Janke, PSY.D.
• James Edward Jankowski, PA
• JCS Anesthesiology PLLC
• Johnathan Jeffers, MD

• General Practice Dentistry in San Marcos, TX
• Providers in San Marcos, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.