DR. ERICK A JANSSON (NPI# 1184931065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184931065 |
| Entity Type | Individual |
| Full Name | DR. ERICK A JANSSON |
| Credential | DDS |
| Practice Address |
1002 Diamond Rdg Ste 1500 Jefferson City MO 65109-7914 |
| Practice Telephone | 5732984400 |
| Practice Fax Number | 5736161489 |
| Mailing Telephone | 5732984400 |
| Mailing Fax Number | 5736161489 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2018-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 25599 | TX | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2013012556 | MO | Dental Providers |
| Street Address |
1002 DIAMOND RDG STE 1500 |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-7914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518427079 | Missouri Dental Specialists | Dentist | 1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109-7914 | 2019-03-21 |
| 1285185355 | Ivan M Larsen | Dentist | 1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109-7914 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437235470 | Joseph Allen May | Dentist | 1115 Southwest Blvd, Jefferson City, MO 65109-2571 | 2006-10-31 |
| 1831293828 | Joseph May Dds PC | Dentist | 1115 Southwest Boulevard, Jefferson City, MO 65109-2571 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185045 | Daniel G Stamos Dds PC | Dentist | 5400 N Oak Trfy Ste 201, Kansas City, MO 64118-4690 | 2020-08-18 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1811373764 | Susan S Adams | Dentist | 1321 Veterans Blvd, Festus, MO 63028-2329 | 2015-08-03 |
| 1720412463 | Shelly L. Sarich Dds,ms and Spencer Elmore Dds, Ms, PC | Dentist | 1053 Rondale Ct, Dardenne Prairie, MO 63368-7368 | 2013-08-29 |
| 1316222961 | Endodontic Associates, LLC | Dentist | 1431 Us Highway 61 South, Festus, MO 63028 | 2011-10-14 |
| 1770713265 | Endodontics South, Ltd | Dentist | 1431 Us Hwy 61 So, Festus, MO 63028 | 2009-07-20 |
| 1346483211 | Gregory Joe Powell | Dentist | 12255 De Paul Dr., Ste 885, Bridgeton, MO 63044 | 2009-04-08 |
| 1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
| 1184816431 | Pearline, Dds & Roach, Dmd, PC | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2007-08-10 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.