Active NPI
Andrea Kirsten Janik, DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1942463443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23876
- Practice address
- 2703 North Loop 1604 West
Suite 103
San Antonio, TX 78258 - Phone
- (214) 929-6793
- NPI assigned
- Jul 3, 2008
- Last updated
- Feb 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23876 | TX | Primary |
Addresses
Primary practice location
2703 North Loop 1604 West
Suite 103
San Antonio, TX 78258
Mailing address
2703 North Loop 1604 West
Suite 103
San Antonio, TX 78258
Phone (210) 408-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23876 | Other | TX | CHIP NUMBER |
Other names 1
- Andrea Janik Keith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813010733 | TX | Order and Referring Only - Dentist | 7416262886 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23876 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1942463443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 NORTH LOOP 1604 WEST",
"address_2": "SUITE 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-408-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 NORTH LOOP 1604 WEST",
"address_2": "SUITE 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "214-929-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANIK",
"first_name": "ANDREA",
"middle_name": "KIRSTEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP NUMBER",
"identifier": "23876",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "KEITH",
"middle_name": "JANIK",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.