Joseph Eric Janaszak

Primary specialty

DentistTaxonomy code 122300000X

License

DE00006667 Issued in WA

Practice address

4115 Bridgeport Way W Ste E
University Place, WA 98466-4331

Phone

(253) 565-0404

Fax

(253) 565-0406

NPI assigned

Jul 16, 2012

Sex

Male

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1992050942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 BRIDGEPORT WAY W STE E",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664331",
            "telephone_number": "253-565-0404",
            "fax_number": "253-565-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 BRIDGEPORT WAY W STE E",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664331",
            "telephone_number": "253-565-0404",
            "fax_number": "253-565-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANASZAK",
        "first_name": "JOSEPH",
        "middle_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58362",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph F Jasper, MD
• Shannon Jean, DDS
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• Carrie L Jenner, MD
• Catherine Dinelle Jerome, LMP

• Dentist in University Place, WA
• Providers in University Place, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.