Organization Active NPI

Jaidev PA

  • Dental Clinic/Center
  • Stuart, FL
National Provider Identifier
1245746395
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAIDEV PA
Practice address
6513 S Kanner Hwy
Stuart, FL 34997-6330
Phone
(561) 703-0219
NPI assigned
Dec 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Dr. Payal Chokshi, DMD
Title
Owner
Phone
(561) 703-0219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6513 S Kanner Hwy
Stuart, FL 34997-6330

Mailing address

6513 S Kanner Hwy
Stuart, FL 34997-6330

Other identifiers 1

IdentifierTypeStateIssuer
004444800MedicaidFL

National Provider Directory

National Provider Directory

Locations

6513 S Kanner Hwy
Stuart, FL 34997
Phone (561) 703-0219

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1245746395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6513 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976330",
            "telephone_number": "561-703-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIDEV PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "CHOKSHI",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-703-0219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004444800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.