Jaimin Desai, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015904 Issued in GA

Practice address

160 Pierce Ave
Macon, GA 31204-2871

Phone

(478) 743-0901

NPI assigned

Jun 27, 2019

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

Practice roles

Interoperability endpoints

• Direct secure messaging: jdesai3047408@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: jaimin.desai.p1@direct.wcchc.nextgenshare.com

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.

• Ambrose Pediatric Dentistry of Dublin, LLC

  • Pediatric Dentistry
  • Dublin, GA
  • NPI 1578930095
  NPD (past)
• Ambrose Pediatric Dentistry of Forsyth, LLC

  • Dental Clinic/Center
  • Forsyth, GA
  • NPI 1679136717
  NPD (past)
• Ambrose Pediatric Dentistry of Warner Robins, LLC

  • Dental Clinic/Center
  • Warner Robins, GA
  • NPI 1063075893
  NPD (past)
• John and Paul Dentistry, LLC

  • Pediatric Dentistry
  • Macon, GA
  • NPI 1023476652

  General Practice

  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1053972141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042871",
            "telephone_number": "478-743-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "JAIMIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Care Center of Macon, PC
• Dental Sleep Therapy of Macon LLC
• Dental Wellness Center of Macon, LLC
• Derrick Lane, MD, LLC
• Judith Loudon Derriso, LCSW
• Niraj Desai, MD
• Developing Minds Treatment Center, LLC
• Sharon Devereaux
• Morgan Jazmine Devero, DPT
• Mary Katherine Devoe, PT

• General Practice Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.