Jalpa Harvadan Dave, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN013579 Issued in GA

Practice address

805 Glynn St S
Suite#131
Fayetteville, GA 30214-2000

Phone

(770) 460-6651

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

Yes

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 GA

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

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1295931475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 GLYNN ST S",
            "address_2": "SUITE#131",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142000",
            "telephone_number": "770-460-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 GLYNN ST S",
            "address_2": "SUITE#131",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142000",
            "telephone_number": "770-460-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "JALPA",
        "middle_name": "HARVADAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tajah Damm, MD
• Kedra Daniel
• Edward Osei Dankyi, NP
• Andrew Darlington, DO
• Monique R Darnell, LPC
• Alan D Davis, M.D.
• Cherie Davis
• Debbie S. Davis, MSN
• Donica J Davis, PAC
• Gregory Scott Davis, PHARMD

• Dentist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.