NPIMap

Organization Active NPI

Charles W Janes DDS PC

  • General Practice Dentistry
  • Hannibal, MO
National Provider Identifier
1760638365
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE015296 Issued in MO
Legal business name
CHARLES W JANES DDS PC
Practice address
501 Clinic Rd
Hannibal, MO 63401-3605
Phone
(573) 221-3360
Fax
(573) 221-1472
NPI assigned
Aug 14, 2008
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Charles W Janes, D.D.S.NPI 1316040744
Title
General Dentist
Phone
(573) 221-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE015296 MO Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE015702 MO

Addresses

Primary practice location

501 Clinic Rd
Hannibal, MO 63401-3605

Mailing address

501 Clinic Rd
Hannibal, MO 63401-3605
Phone (573) 221-3360

National Provider Directory

National Provider Directory
Tax ID family
Charles W Janes DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 Clinic Rd
Hannibal, MO 63401
Phone (573) 221-3360

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1760638365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CLINIC RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013605",
            "telephone_number": "573-221-3360",
            "fax_number": "573-221-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CLINIC RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013605",
            "telephone_number": "573-221-3360",
            "fax_number": "573-221-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W JANES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "JANES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "573-221-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE015296",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE015702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.