Jake M. Juhl, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7129 Issued in KS

Practice address

2045 E Labrador Blvd
Garden City, KS 67846-3996

Phone

(620) 260-2183

Fax

(620) 260-2188

NPI assigned

Oct 24, 2005

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

Other names 1

• Dr. Jason M Juhl Other name

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 and National Provider Directory roles.

• Jake M Juhl DDS

  • General Practice Dentistry
  • Garden City, KS
  • NPI 1336209287
  NPD

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1760472518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-355-6500",
            "fax_number": "620-355-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 E LABRADOR BLVD",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463996",
            "telephone_number": "620-260-2183",
            "fax_number": "620-260-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHL",
        "first_name": "JAKE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING PROVIDER #",
            "identifier": "110892",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "JUHL",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jay Keltner, D.D.D. P.a.
• Jeffrey J Stasch
• Joanne D. Rink M.D., L.L.C.
• Matthew E Johannes, OD
• Lanie Rose Johnson, FNP-C
• Kandee K Klein DDS PA
• Patricia Adrea Kanhai, FNP-C
• Kansas Orthopaedic Center, P.a.
• Vanessa Kapp, LSCSW, LMAC
• Karis, Inc.

• General Practice Dentistry in Garden City, KS
• Providers in Garden City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.