Joseph Jankovich, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

61425 Issued in KS

Practice address

605 Randolph Rd
Fort Sill, OK 73503-4535

Phone

(580) 442-2263

NPI assigned

May 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 and National Provider Directory roles.

• Eisenhower Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Gordon, GA
  • NPI 1588868848
  NPD (past)

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

{
    "created_epoch": "1399766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1730590936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 NE 35TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735071959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 RANDOLPH RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034535",
            "telephone_number": "580-442-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOVICH",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-11",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "9361",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "61425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihai Iancu, PA-C
• Shelby A Imhoff
• Larry William Immenschuh, RDLD
• Deborah Ann Inman, R.PH.
• Kyndra Ashanta Jackson, RN
• Sawanya Janthachotikun, RD
• Randall Lee Jenkins, M.D.
• Rose Jepkirui
• Francis Paul Jette, SOCIAL WORKER
• Justin Jimenez, PA-C

• Periodontics in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Periodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.