Mark A Janczakowski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7880 Issued in WA

Practice address

19320 40TH Ave W Ste B
Lynnwood, WA 98036-4602

Phone

(425) 771-9090

Fax

(425) 775-1549

NPI assigned

Jan 10, 2006

Last updated

Jun 2, 2022By the provider in NPPES

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hetzer and Janczakowski, DDS, PLLC

  dba Dental Care Design

  • General Practice Dentistry
  • Lynnwood, WA
  • NPI 1588733687
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1881673812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19320 40TH AVE W STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364602",
            "telephone_number": "425-771-9090",
            "fax_number": "425-775-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19320 40TH AVE W STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364602",
            "telephone_number": "425-771-9090",
            "fax_number": "425-775-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCZAKOWSKI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James a. Salmon, M.D. PS
• James to DMD PLLC
• Jason James
• Leslie James
• Tessa Lee Jameson
• Geun-Yeong Jang, D.C
• Jung a Jang, ARNP
• Jung Ho Jang, DC, LAC
• Steven Wangsoo Jang, O.D.
• Lauren F Jarvis, PHARMD

• General Practice Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.