Individual provider Active NPI

Cameron Janowski, D.M.D.

  • Dentist
  • Ocala, FL
National Provider Identifier
1972049237
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22479 Issued in FL
Practice address
11206 SW 93Rd Court Rd Ste 200
Ocala, FL 34481-5252
Phone
(312) 320-6411
NPI assigned
Jan 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22479 FL Primary
Dentist 122300000X 019.030959 IL

Addresses

Primary practice location

11206 SW 93Rd Court Rd Ste 200
Ocala, FL 34481-5252

Mailing address

11206 SW 93Rd Court Rd Ste 200
Ocala, FL 34481-5252
Phone (312) 320-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815004578 IL Order and Referring Only - DentistPractitioner - Dentist 2567734296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22479FLMDDentist
019.030959ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1972049237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11206 SW 93RD COURT RD STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344815252",
            "telephone_number": "312-320-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 SW 93RD COURT RD STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344815252",
            "telephone_number": "312-320-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOWSKI",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22479",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.