Matthew Janbou, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10786 Issued in AZ

Practice address

6466 S Higley Rd Ste 101
Gilbert, AZ 85298-4335

Phone

(480) 457-8283

NPI assigned

Aug 16, 2020

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 AZ

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 and National Provider Directory roles.

• Janbou Dentistry PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1316883291
  NPD Authorized official
• Gilbert Modern Dentistry and Orthodontics, LLP

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1740627744
  NPD (past)
• San Tan Dental Group, LLP

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1225234149
  NPD (past)

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1891306478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 NORWAY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142939",
            "telephone_number": "586-872-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6466 S HIGLEY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984335",
            "telephone_number": "480-457-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANBOU",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "10786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sedona James
• Bethany Lynn Jameson, FNP
• Jamie P Coffey DPM
• Jamie P Coffey DPM PC
• Sabrina J Jamiel, PA-C
• Jekyung Jang, MT-BC
• Janice Motoike, PH.D., P.L.L.C.
• Lauren Elizabeth Janke
• Janus RX LLC
• Breanne M Jaqua, D.O.

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.