DR. PETER G JANECKE (NPI# 1295858033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295858033 |
| Entity Type | Individual |
| Full Name | DR. PETER G JANECKE |
| Credential | DDS |
| Practice Address |
104 Catlin St Warren IL 61087 |
| Mailing Address |
104 Catlin St Box 365 Warren IL 61087 |
| Practice Telephone | 8157452038 |
| Practice Fax Number | 8157452038 |
| Mailing Telephone | 8157452038 |
| Mailing Fax Number | 8157452038 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1005450 | 05 |
| Street Address |
104 CATLIN ST |
| City | WARREN |
| State | IL |
| Zip Code | 61087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770601510 | Thomas G Janecke | Dentist | 104 Catlin St, Warren, IL 61087-0642 | 2007-03-27 |
| 1972120400 | Martin Janecke | Dentist | 104 Catlin St, Warren, IL 61087-7704 | 2020-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942388038 | Warren Drug Store, Inc. | Pharmacy | 137 East Main Street, Warren, IL 61087 | 2006-11-02 |
| 1144234576 | Warren Area Ambulance Service | Ambulance | 103 W. Main Street, Warren, IL 61087 | 2006-07-29 |
| 1629051503 | Teresa Blair | Nurse Practitioner | 606 Tisdell Ave, Warren, IL 61087 | 2005-11-23 |
| 1396913372 | Warren C Ud 205 | Local Education Agency (LEA) | 311 S Water St, Warren, IL 61087-9360 | 2008-02-13 |
| 1093098717 | Jena Zientek | Physical Medicine & Rehabilitation | 606 Tisdel Ave, Warren, IL 61087-9741 | 2011-09-20 |
| 1255471025 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 606 Tisdell Ave, Warren, IL 61087-9741 | 2007-02-08 |
| 1588965222 | Krush Promotions Inc | Durable Medical Equipment & Medical Supplies | 508 Burnett Ave, Warren, IL 61087-9763 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1285235408 | Kearisten Gaines | Psychologist | 1155 Niles Cortland Rd Se Ste 2, Warren, OH 44484-2542 | 2020-11-04 |
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1801496559 | Kynlee Madison West | Occupational Therapy Assistant | 101 N Munn St, Warren, AR 71671-2951 | 2020-10-30 |
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1043819592 | Twila Jo Verbosky | Homemaker | 736 Meadowbrook Ave Se, Warren, OH 44484-4554 | 2020-10-25 |
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1578162855 | Kelsey Coffey | Massage Therapist | 2400 Niles Cortland Rd Se Ste 5, Warren, OH 44484-3869 | 2020-10-19 |
| 1629676242 | Bernita Faye Diggs | Home Health | 1797 Brier St Se, Warren, OH 44484-5312 | 2020-10-15 |
| Find all providers in WARREN | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177713 | Warren Family Dentistry | Dentist | 11250 E 13 Mile Rd Ste 3, Warren, MI 48093-2597 | 2020-09-04 |
| 1144847294 | Rezan Doku | Dentist | 11552 E 12 Mile Rd Ste 105, Warren, MI 48093-2644 | 2020-07-06 |
| 1710449459 | Benjamin J Underwood Dds LLC | Dentist | 6213 Chicago Rd Ste 100, Warren, MI 48092-1697 | 2019-04-02 |
| 1902341233 | George C. Ploumbis, Dds, Inc. | Dentist | 2239 E Market St, Warren, OH 44483-6105 | 2016-12-22 |
| 1023491586 | A1 Family Dentistry,plc | Dentist | 30205 Schoenherr Rd Ste E, Warren, MI 48088-6800 | 2015-07-02 |
| 1013250026 | Warren Dental Group, David M Raiffe, Dds, Mba, Inc | Dentist | 1019 N Park Ave, Warren, OH 44483-3725 | 2013-03-28 |
| 1508124363 | Marek Jaroslaw Ogledzki | Dentist | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2012-04-30 |
| 1558636936 | Soft Care Dental Group | Dentist | 108 Town Center Dr, Warren, NJ 07059-5692 | 2012-03-18 |
| 1487884375 | Thomas Joseph Wilson | Dentist | 8401 Howland Springs Rd Se, Warren, OH 44484-3120 | 2009-07-26 |
| 1801054085 | Oleg Doubrovski | Dentist | 4265 E 10 Mile Rd, Warren, MI 48091-1578 | 2008-05-24 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on DR. PETER G JANECKE.
| 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.