Jsam, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

009451 Issued in CT

Legal business name

JSAM, LLC

Doing business as

John D. Michalak Family Dentistry

Practice address

420 E Main St
Building 3, Suite #17
Branford, CT 06405-2940

Phone

(203) 488-6553

NPI assigned

Nov 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Michalak, DMD

Title

Dentist

Phone

(203) 488-6553

Specialties & licenses 1

Addresses

Other names 1

• John D. Michalak Family Dentistry Doing business as

Tax ID family

John D Michalak Family Dentistry2 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.

• Jsam LLC

  • Dental Clinic/Center
  • Branford, CT
  • NPI 1407288350
  NPD tax ID

Locations

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1861779373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST",
            "address_2": "BUILDING 3, SUITE #17",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052940",
            "telephone_number": "203-488-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST",
            "address_2": "BUILDING 3, SUITE #17",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052940",
            "telephone_number": "203-488-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "MICHALAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-488-6553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "009451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John D. Michalak Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmin Marcel Joiner
• Jolanta Maryanska Therapy, LLC
• Barry Steven Josephs, D.D.S.
• Hannah Joyner, OTR/L
• Jsam LLC
• Hannah Jurewicz, LPC, MED, MA, CCDP
• Christina Kalogeris
• Mark S Kasper, MD
• Kate McDonough Ms, CCC-SLP, LLC
• Virginia Katz

• Dentist in Branford, CT
• Providers in Branford, CT by specialty
• Dentist in Connecticut

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

Verify at the official NPI Registry.