Individual provider Active NPI

Julia Javarone, D.D.S.

  • Endodontics
  • Katy, TX
National Provider Identifier
1184854077
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D10168 Issued in OR
Practice address
21681 Kingsland Blvd
Katy, TX 77450-2512
Phone
(281) 646-8888
NPI assigned
Jul 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 24831 TX
General Practice Dentistry 1223G0001X 24831 TX
Endodontics 1223E0200X D10168 OR Primary

Addresses

Primary practice location

21681 Kingsland Blvd
Katy, TX 77450-2512

Mailing address

1264 E Park St
Grants Pass, OR 97527-4919
Phone (281) 300-2719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20170919003442 OR Order and Referring Only - DentistPractitioner - Dentist 9436423142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D10168ORMDEndodontist
24831TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1184854077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 E PARK ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975274919",
            "telephone_number": "281-300-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21681 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502512",
            "telephone_number": "281-646-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVARONE",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "24831",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24831",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D10168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.