Jansen Family Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JANSEN FAMILY DENTISTRY, P.C.

Practice address

230 S Main Street
Kendallville, IN 46755-1718

Phone

(260) 347-5115

Fax

(260) 347-9098

NPI assigned

May 10, 2006

Last updated

Jul 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Jansen

Title

Business Manager

Phone

(260) 347-5115

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Janaya L Jansen, DDS

  • General Practice Dentistry
  • Kendallville, IN
  • NPI 1689968588
  NPD
• Douglas A Jansen, DDS

  • General Practice Dentistry
  • Kendallville, IN
  • NPI 1316998636
  NPD (past)
• James S Jansen

  • General Practice Dentistry
  • Kendallville, IN
  • NPI 1407807738
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1952351264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S MAIN STREET",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551718",
            "telephone_number": "260-347-5115",
            "fax_number": "260-347-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAIN STREET",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551718",
            "telephone_number": "260-347-5115",
            "fax_number": "260-347-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANSEN FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "260-347-5115"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200389980A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100190860A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J M-Turner, Inc.
• Megan Jackson
• Yvette Jacobs
• Abdali S. Jan, M.D.
• Jansen & Jansen, D.C., Inc. (Jansen Family Chiropractic)
• Douglas A Jansen, DDS
• Gerard A. Jansen, D.C., L.AC.
• James S Jansen
• Janaya L Jansen, DDS
• Thomas L. Jansen, D.C., F.A.C.O.

• General Practice Dentistry in Kendallville, IN
• Providers in Kendallville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.