Jay D Main, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60664 Issued in KS

Practice address

2510 Henderson Dr
Garden City, KS 67846-3624

Phone

(620) 275-4949

Fax

(620) 275-0149

NPI assigned

Jun 8, 2009

Last updated

Jun 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1053547877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 HENDERSON DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463624",
            "telephone_number": "620-275-4949",
            "fax_number": "620-275-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 HENDERSON DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463624",
            "telephone_number": "620-275-4949",
            "fax_number": "620-275-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "JAY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yufei Lu, DPT
• James Patrick Lucero, D.D.S.
• Diane M Madsen, CRMA
• Erma R Magie, AAPS
• Esmeralda Main, LPC
• Mahmud Ul Majeed, MD
• Holly Yvonne Mancillas, LSCSW
• Edward L Mangosing, M.D.
• Abeera Mansur, MD
• Joseph Heinrick Marceny, MD

• General Practice Dentistry in Garden City, KS
• Providers in Garden City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.