Brian B Jagirdar, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DIO18237 Issued in NJ

Practice address

70 S State St
Vineland, NJ 08360-4851

Phone

(856) 205-9500

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian Jagirdar DMD,PA

  dba Vineland Dental Arts

  • General Practice Dentistry
  • Vineland, NJ
  • NPI 1053473280
  NPD (past) Authorized official
• Vineland Dental LLC

  • Dental Clinic/Center
  • Vineland, NJ
  • NPI 1346197878
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285796490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S STATE ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604851",
            "telephone_number": "856-205-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S STATE ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604851",
            "telephone_number": "856-205-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGIRDAR",
        "first_name": "BRIAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DIO18237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ipc Hospitalist Physicians of New Jersey PC
• Karen Marie Irving, LSW
• Alexandria Elizabeth Jackson, DO
• Anthony Martin Jadick, CRNA
• Trinity Jagdeo
• Archna Jain, MD
• Megan E James, LCSW
• Thomas M Jamison
• Himani Jani, DO, MBA
• Magdalena Jankowski, MD

• General Practice Dentistry in Vineland, NJ
• Providers in Vineland, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.