Daniel Joseph Johanek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001314-15 Issued in WI

Practice address

2563 E Calumet St
Appleton, WI 54915-4748

Phone

(920) 731-6416

Fax

(920) 731-1275

NPI assigned

Apr 24, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Daniel J. Johanek D.D.S.S.C.

  • Dentist
  • Appleton, WI
  • NPI 1972526325
  NPD (past) Authorized official

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1821356296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154748",
            "telephone_number": "920-731-6416",
            "fax_number": "920-731-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154748",
            "telephone_number": "920-731-6416",
            "fax_number": "920-731-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANEK",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001314-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Jeter, PT
• JNG Counseling LLC
• Mackenzie Jobs
• Gabrielle Cassandra Jochman, LCSW
• Mindy L Joerndt, NP
• Viva Marie Johanknecht, MS RD CD
• Lawrence Johansen, O.D.
• John H Bradley Deptartment of Veterans Affairs Outpatient Clinic
• Robin K Johnson-Pierre, COTA
• Amy Lou Johnson, MT-BC

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.