Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952153314 Individual Practitioner Female Practitioner

Jisha Tony Panicker

Dentist - General Practice • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Jisha Panicker is a registered healthcare professional specializing in Dentist - General Practice in Lansing, MI. Practice services are available at 6111 S CEDAR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6111 S Cedar St

Lansing, MI 489115714

Telephone 5173933447

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
92 Specialists

Practicing in Lansing, MI (4360 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: 2024-07-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901602091

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1013437573

Doctor of Dental Surgery

Dr. Jaskiran Mahngar , DDS

Dentist - General Practice

NPI 1326658709

Doctor of Dental Surgery

NPI 1417693706

Doctor of Dental Medicine

NPI 1447816814

Doctor of Dental Medicine

Mounica Reddy Gayam

Dentist - General Practice

NPI 1558229195
Dr. Amritpal Singh , DMD

Dentist - General Practice

NPI 1679262638

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2024

Dentist (License #2901602091 in MI)

NPI Profile Active April 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2024

Registered at 6111 S CEDAR ST, LANSING, MI 489115714 (Tel: 5173933447)

📍
Updated Business Mailing Address April 01, 2024

Registered at 1854 S PENNFIELD LN, CANTON, MI 481882559 (Tel: 4082304878)

👤
Provider Name / Credentials Updated April 01, 2024

Recorded as JISHA PANICKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2024

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: 1952153314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2024
Last Update: July 12, 2024
Sole Proprietor: Yes

Mailing Address

1854 S Pennfield Ln

Canton, MI 481882559

Phone: 4082304878

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.