JK Dental Consultants PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JK DENTAL CONSULTANTS PLLC

Practice address

60 East St Ste 2500
Methuen, MA 01844-4519

Phone

(978) 788-9303

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vaibhav Jagad, DMDNPI 1659880318

Title

Manager

Phone

(815) 995-2852

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Vaibhav Mahesh Jagad, DMD

  • Pediatric Dentistry
  • Methuen, MA
  • NPI 1659880318
  NPD Authorized official
• Bhoomi Kotak, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Methuen, MA
  • NPI 1376052043
  NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1104648468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MIDDLESEX AVE UNIT C208",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555084",
            "telephone_number": "815-995-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST ST STE 2500",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444519",
            "telephone_number": "978-788-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK DENTAL CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "JAGAD",
        "authorized_official_first_name": "VAIBHAV",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-995-2852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Jellison, LICSW
• Katherine Michelle Jesson
• Alexander Jimenez
• Wallasse M Jiminan
• Newton Jiminian
• JL Vision, LLC
• Johanna Johanni-Lopez, NP
• Liam Ross Johansson
• Richard Clay Johansson, M.D.
• John Diune, D.D.S.

• Pediatric Dentistry in Methuen, MA
• Providers in Methuen, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.