Tejal Megan Jamidar, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN23971 Issued in FL

Practice address

912 S Ridgewood Ave Ste a
Daytona Beach, FL 32114-5363

Phone

(386) 317-0000

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oceanside Dental Daytona

  • General Practice Dentistry
  • Daytona Beach, FL
  • NPI 1932053063
  NPD Authorized official
• FL Dental Centers PLLC

  • Dentist
  • Clearwater, FL
  • NPI 1457072779
  NPD (past)
• Ekapoj Thongin III, DMD, PLLC

  • Dental Clinic/Center
  • Arlington, WA
  • NPI 1265828305
  NPD (past)
• Washington Dental Corporation, PC

  • Dentist
  • Battle Ground, WA
  • NPI 1033633920
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667001600000",
    "number": "1174018733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S RIDGEWOOD AVE STE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145363",
            "telephone_number": "386-317-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S RIDGEWOOD AVE STE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145363",
            "telephone_number": "386-317-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIDAR",
        "first_name": "TEJAL",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11220",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60985534",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James T. Moore, M.D.
• Rosemary Alvan James-Worship
• Amanda James
• Cashana Adrian James, MS
• Humayun Jamidar, M.D.
• Brian William Jansen, ATC, LAT
• Jennifer Jansen, MS
• Wilnica Janvier
• Leanna Jasper
• Syncere Jefferson

• Dentist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.