MR. ROBERT C JANISSE DDS NPI 1194834895

NPI Information

NPI: 1194834895
Provider Name: MR. ROBERT C JANISSE, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
7012 NE 40TH ST
VANCOUVER, WA
ZIP 98661
Phone: (360) 254-5254
Get Directions

MR. Robert C Janisse, DDS is a general practice dentist in Vancouver, WA with 32 years of experience. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Robert C Janisse, DDS NPI is 1194834895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7012 NE 40TH ST
VANCOUVER, WA
ZIP 98661-052
Phone: (360) 254-5254
Fax: (360) 944-3835

The NPI 1194834895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/29/2006 and was last updated on 9/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D7791	OREGON	No
2	1223G0001X	Dentist	General Practice	DE00009252	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5038989	MEDICAID	WASHINGTON
2	0158867	OTHER	WASHINGTON	L&I
3	8932835	OTHER	WASHINGTON	CRIME VICTIMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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