Jeffrey Brian Janison, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4940 Issued in WA

Practice address

615 5TH Ave S
Edmonds, WA 98020-3452

Phone

(425) 775-1134

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeffrey B. Janison, DDS

  • Dentist
  • Edmonds, WA
  • NPI 1871441709
  NPD Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902934912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 5TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203452",
            "telephone_number": "425-775-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 5TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203452",
            "telephone_number": "425-775-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISON",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5527205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Nguyen DMD PS
• Kathi A James, OT
• Colleen Jamieson, ND
• Diane L Jamieson, PH.D.
• Jane H. Yong D.D.S. (Custom Dental Care)
• Victoria Janssen
• Jared R. Hellings, PSYD, PLLC
• Brett Haven Jaspers, MD
• Jordan Irene Jeffcoat, RDH
• Jeffrey B. Janison, DDS

• General Practice Dentistry in Edmonds, WA
• Providers in Edmonds, 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 Jul 8, 2007; 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.