Ryan Neil Jaffe, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN25928 Issued in FL

Practice address

1566 W Fairbanks Ave
Winter Park, FL 32789-4602

Phone

(407) 645-4645

Fax

(407) 628-3870

NPI assigned

Apr 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roseman University of Health Sciences, a Nevada Non-Profit Corp

  • Dentist
  • South Jordan, UT
  • NPI 1417363821
  NPD (past)

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1235711797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 N FORK DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583740",
            "telephone_number": "561-284-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894602",
            "telephone_number": "407-645-4645",
            "fax_number": "407-628-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "RYAN",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-24",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Lynn Jacobson
• Jacqueline L. Kaiser M.D., P.a.
• Stephanie Jacques, LMHC
• Armon Jadidian, M.D.
• Christine Jaehne
• Maya Jafferjee, ACUPUNCTURE PHYSCIAN
• David Brian Jager, MD
• Israt Jahan
• Jairo R Nunez MD PA
• Vidhyalakshmi V Jaishankar, M.D.

• Dentist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.