Jayashree Kyatam, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22427 Issued in TX

Practice address

9900 W Parmer LN Ste A205
Austin, TX 78717-4909

Phone

(512) 388-1833

Fax

(512) 388-1838

NPI assigned

Aug 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neenah Plaza Dentistry

  • Dentist
  • Austin, TX
  • NPI 1790107159
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1013025584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 W. PARMER LN",
            "address_2": "SUITE A-205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78717",
            "telephone_number": "512-388-1833",
            "fax_number": "512-388-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W PARMER LN STE A205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174909",
            "telephone_number": "512-388-1833",
            "fax_number": "512-388-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYATAM",
        "first_name": "JAYASHREE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@parmerdentistry.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9900 W Parmer Ln Ste A205",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787174909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Kwon, APRN-CNP
• Daniel Sung-Won Kwon, DDS
• Yoo Lee Kwon
• Youngchan Kwon
• Jeanine Eunkyung Kwun, MD
• Brinya Kydd, RD
• Joseph Kydon
• Kyla Winlow PLLC
• Claire Kylander, RN, MSN, FNP-C
• Kyle Raymond PA

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.