Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316998636 Individual Practitioner Male Practitioner

Dr. Douglas A Jansen , DDS

Dentist - General Practice • Kendallville, IN

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Jansen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kendallville, IN. Practice services are available at 230 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 S Main St

Kendallville, IN 467551718

Telephone 2603475115
Associated Practice Facility / Clinic
🏢 Jansen Family Dentistry, P.c. Facility NPI 1952351264

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kendallville, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Kendallville, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12009669

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
12009669 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
James Jansen

Dentist - General Practice

NPI 1407807738
Dr. Janaya Jansen , DDS

Dentist - General Practice

NPI 1689968588

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2008

Registered at 230 S MAIN ST, KENDALLVILLE, IN 467551718 (Tel: 2603475115)

📍
Updated Business Mailing Address September 11, 2008

Registered at 230 S MAIN ST, KENDALLVILLE, IN 467551718 (Tel: 2603475115)

👤
Provider Name / Credentials Updated September 11, 2008

Recorded as DOUGLAS JANSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2008

Dentist (License #12009669 in IN)

🟢
Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316998636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: June 20, 2023
Sole Proprietor: No

Mailing Address

230 S Main St

Kendallville, IN 467551718

Phone: 2603475115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.