Theyyar R Jan DDS,PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN14363 Issued in FL

Legal business name

THEYYAR R JAN DDS,PA

Practice address

6901 W Colonial Dr
Suite 6901 Hiawassee Prof. BLDG
Orlando, FL 32818-6829

Phone

(407) 292-8767

NPI assigned

Jan 7, 2016

Last updated

Jan 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theyyar Rangarajan, D.D.S

Title

President

Phone

(239) 594-2012

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1144686098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 ISLA DE PALMA CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193403",
            "telephone_number": "239-594-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 W COLONIAL DR",
            "address_2": "SUITE 6901 HIAWASSEE PROF. BLDG",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186829",
            "telephone_number": "407-292-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEYYAR R JAN DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "RANGARAJAN",
        "authorized_official_first_name": "THEYYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-594-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.