Individual provider Active NPI

Jamie Roy Carstairs, DDS

  • General Practice Dentistry
  • La Quinta, CA
National Provider Identifier
1275737983
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53580 Issued in CA
Practice address
44025 Jefferson St
Suite 105
La Quinta, CA 92253-4874
Phone
(760) 989-4340
Fax
(760) 262-3981
NPI assigned
Jun 14, 2007
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53580 CA Primary

Addresses

Primary practice location

44025 Jefferson St
Suite 105
La Quinta, CA 92253-4874

Mailing address

44025 Jefferson St
Suite 105
La Quinta, CA 92253-4874
Phone (760) 989-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53580CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1275737983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44025 JEFFERSON ST",
            "address_2": "SUITE 105",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534874",
            "telephone_number": "760-989-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44025 JEFFERSON ST",
            "address_2": "SUITE 105",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534874",
            "telephone_number": "760-989-4340",
            "fax_number": "760-262-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSTAIRS",
        "first_name": "JAMIE",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.