Zayna Jan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.034949 Issued in IL

Practice address

202 Vancina LN
New Lenox, IL 60451-9531

Phone

(815) 348-9617

NPI assigned

Feb 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1972201275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 35TH ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151417",
            "telephone_number": "630-765-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 VANCINA LN",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519531",
            "telephone_number": "815-348-9617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UVMMC 111 Colchester Avenue",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAN",
        "first_name": "ZAYNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn E Augustine Psy.D PC
• Constance Jaegle, R.N., M.S., NP
• Parag Jain, M.D
• Nathan R Jaisingh, NP
• James T Niemeyer DO SC
• Marie Jarell-Gracious, PT
• Zafer Jawich, M.D.
• Dana Jay, LCPC
• Carly Jensen
• Doris L Jeske, LMT

• General Practice Dentistry in New Lenox, IL
• Providers in New Lenox, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.