Steven Jakubaitis DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

11468 Issued in FL

Legal business name

STEVEN JAKUBAITIS DMD PA

Practice address

2866 Tamiami TRL
Port Charlotte, FL 33952-5126

Phone

(941) 629-4400

Fax

(941) 764-0000

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Steven Jakubaitis, D.M.D.NPI 1376627828

Title

President

Phone

(941) 629-4400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Steven Jakubaitis, DMD

  • Dentist
  • Port Charlotte, FL
  • NPI 1376627828
  NPD (past) Authorized official

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1104251701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2866 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525126",
            "telephone_number": "941-629-4400",
            "fax_number": "941-764-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2866 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525126",
            "telephone_number": "941-629-4400",
            "fax_number": "941-764-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN JAKUBAITIS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "JAKUBAITIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-629-4400",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Stephens
• Stepping Stone Kids Therapy LLC
• Edna Stercula, CRNA
• Lisa Stern
• Steven D Christesen MD PA
• Carol W Stevens, DDS
• Deanna Stevens, HAS
• Grant Edward Stevens, HIS
• Theresa Stevens, HIS
• Troy Stevens

• Dental Clinic/Center in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.