Jayraj J. Patel D.M.D P.L.L.C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAYRAJ J. PATEL D.M.D P.L.L.C

Practice address

50 Cypress Point Pkwy Ste A3
Palm Coast, FL 32164-2501

Phone

(386) 445-0977

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Jayraj J Patel, D.M.D.NPI 1790005650

Title

MGR

Phone

(813) 842-5837

Specialties & licenses 1

Addresses

Other names 1

• PALM COAST FAMILY DENTISTRY Doing business as

Practitioners 1

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

• Jayraj Jashwantlal Patel, DMD

  • General Practice Dentistry
  • Deland, FL
  • NPI 1790005650
  NPD (past) Authorized official

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1235522103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 PEARL ESTATES LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY STE A3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642501",
            "telephone_number": "386-445-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYRAJ J. PATEL D.M.D P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYRAJ",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "813-842-5837",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM COAST FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vijay K Jain, M.D.
• Henry James, N/A
• Samaria S James, RN
• Jane Walter D.P.M., P.a.
• Joseph Lawrence Jardine
• Albreanna Jakeevia Jenkins
• Rhoselanni D Jenkins
• Milena Jguenti, MD
• Summer Jiloty
• Molly E Jimenez, ARNP

• Dental Clinic/Center in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.