Jack D Janigian, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

JJ000709 Issued in MI

Practice address

950 N Cass Lake Rd
Waterford, MI 48328-2370

Phone

(248) 682-2900

Fax

(248) 682-5783

NPI assigned

Feb 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Adult and Child Podiatric Care P.C.

  • Foot & Ankle Surgery Podiatrist
  • Clinton TWP, MI
  • NPI 1417159237
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1750357083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N CASS LAKE RD",
            "address_2": "103",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282370",
            "telephone_number": "248-682-2900",
            "fax_number": "248-682-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N CASS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282370",
            "telephone_number": "248-682-2900",
            "fax_number": "248-682-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIGIAN",
        "first_name": "JACK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "JJ000709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jallow Kia Enterprise LLC
• Alieu Essa Jallow
• James a. Gibson, M.D., P.C.
• James E. Locascio, D.D.S.P.C.
• Jasmine Jamoua
• Jas Consultants
• Jeffrey B Klein DPM PC
• Jeffrey Danto DPM
• Daniel J Jenaras, DDS
• Jordyn Jendrzejewski, LLBSW

• Foot & Ankle Surgery Podiatrist in Waterford, MI
• Providers in Waterford, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.