NPIMap

Organization Active NPI

Janning ENT Center, LLC

  • Otolaryngology Physician
  • Willmar, MN
National Provider Identifier
1952332629
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
40016 Issued in MN
Legal business name
JANNING ENT CENTER, LLC
Practice address
1801 19TH Ave SW
Willmar, MN 56201-4946
Phone
(320) 231-3277
Fax
(320) 214-5758
NPI assigned
Jul 5, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Dr. Martin Heinz Janning, M.D.NPI 1396963922
Title
Owner
Phone
(320) 231-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 40016 MN Primary

Addresses

Primary practice location

1801 19TH Ave SW
Willmar, MN 56201-4946

Mailing address

1801 19TH Ave SW
Willmar, MN 56201-4946
Phone (320) 231-3277

Other identifiers 3

IdentifierTypeStateIssuer
P00251507OtherMNRAILROAD MEDICARE
313S2JAOtherMNBLUE CROSS BLUE SHIELD
268023800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000650 MN Part B Supplier - Clinic/Group Practice 5496788077 Receives reassigned benefits from 7 practitioners
Practice locations: Olivia, MN; Willmar, MN; Sleepy Eye, MN

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1952332629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-231-3277",
            "fax_number": "320-214-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-231-3277",
            "fax_number": "320-214-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNING ENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "JANNING",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "HEINZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-231-3277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "40016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00251507",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "313S2JA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268023800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.