Active NPI
Wanda J. Janik, D.M.D.
- Pediatric Dentistry
- Allentown, PA
National Provider Identifier
1790070209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS027471L
- Practice address
- 1525 Hausman Rd
Allentown, PA 18104-9258 - Phone
- (610) 433-5111
- Fax
- (610) 433-4393
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS027471L | PA | Primary |
Addresses
Primary practice location
1525 Hausman Rd
Allentown, PA 18104-9258
Mailing address
1525 Hausman Rd
Allentown, PA 18104-9258
Phone (610) 433-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS027471L | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1790070209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 HAUSMAN RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049258",
"telephone_number": "610-433-5111",
"fax_number": "610-433-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 HAUSMAN RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049258",
"telephone_number": "610-433-5111",
"fax_number": "610-433-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANIK",
"first_name": "WANDA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS027471L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.