Jacqueline Morgan Payne, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

103919 Issued in CA

Practice address

1820 Sonoma Ave Ste 36
Santa Rosa, CA 95405-6617

Phone

(707) 546-5234

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1154932150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE STE 36",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056617",
            "telephone_number": "707-546-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE STE 36",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056617",
            "telephone_number": "707-546-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JACQUELINE",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "103919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Louise Paulson
• Payam Behradnia Dmo, a Dental Corp
• Payne Family & Psychiatric Nursing, Inc.
• Brian William Payne, D.D.S.
• Celine Payne, MD
• Lemlem W Payne, NURSE PRACTITIONER
• Michele Payne
• Pazera Family Chiropractic, Inc.
• Karen Beth Pazera, DC
• Pcos Nutrition & Lactation Services

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.