Janesville Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JANESVILLE ENDODONTICS

Practice address

1616 N Randall Ave Ste 180
Janesville, WI 53545-1155

Phone

(608) 314-9000

Fax

(608) 314-3241

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sofya Sulim

Title

Office Administrator

Phone

(414) 520-2228

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igor Sulim Jr., DDS

  • Dentist
  • Glendale, WI
  • NPI 1316415086
  NPD

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1891319273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N RANDALL AVE STE 180",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451155",
            "telephone_number": "608-314-9000",
            "fax_number": "608-314-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N RANDALL AVE STE 180",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451155",
            "telephone_number": "608-314-9000",
            "fax_number": "608-314-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANESVILLE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "SULIM",
        "authorized_official_first_name": "SOFYA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "414-520-2228",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSE",
            "identifier": "1001926",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1316415086",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Christiaan Jacobs, MD
• Fahim Haider Jafary, M.D.
• Don Richard Janczak, PHARMD BCPS
• Janes Therapy Services, LLC
• Samantha Ann Janes
• Janesville Hometown Pharmacy LLC
• Janesville Hometown Pharmacy LLC
• Janesville Physical Therapy and Rehab Specialists, LLC
• Janesville Psychiatric Clinic
• Janesville Psychiatric Clinic Daytreatment for Children

• Endodontics in Janesville, WI
• Providers in Janesville, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.