Organization Active NPI

Barry R. Jaffedds,Inc

  • General Practice Dentistry
  • Parma Heights, OH
National Provider Identifier
1083875447
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013685 Issued in OH
Legal business name
BARRY R. JAFFEDDS,INC
Practice address
6285 Pearl Rd
Suite 11
Parma Heights, OH 44130-3070
Phone
(440) 845-0700
Fax
(440) 845-9855
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Barry R Jaffe, DDSNPI 1669425930
Title
President/Owner
Phone
(440) 845-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 013685 OH Primary

Addresses

Primary practice location

6285 Pearl Rd
Suite 11
Parma Heights, OH 44130-3070

Mailing address

6285 Pearl Rd
Suite 11
Parma Heights, OH 44130-3070
Phone (440) 845-0700

Other identifiers 1

IdentifierTypeStateIssuer
0159420MedicaidOH

National Provider Directory

National Provider Directory

Locations

6285 Pearl Rd
Ste 11
Parma Heights, OH 44130
Phone (440) 845-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1083875447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 PEARL RD",
            "address_2": "SUITE 11",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303070",
            "telephone_number": "440-845-0700",
            "fax_number": "440-845-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 PEARL RD",
            "address_2": "SUITE 11",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303070",
            "telephone_number": "440-845-0700",
            "fax_number": "440-845-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY R. JAFFEDDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "440-845-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "013685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.