Jaxoms, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JAXOMS, P.A.

Practice address

14453 Beach Blvd Ste 101
Jacksonville, FL 32250-2081

Phone

(904) 821-1334

NPI assigned

Aug 5, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Zane Khan, DDS

Title

DPST

Phone

(904) 483-1919

Specialties & licenses 1

Addresses

Tax ID family

Jaxoms PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Jaxoms, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1619893336
  NPD tax ID
• Jaxoms, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boynton Beach, FL
  • NPI 1811840267
  NPD tax ID
• Jaxoms, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cooper City, FL
  • NPI 1992634612
  NPD tax ID

Locations

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jaxoms, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1619893336
  NPPES parent name
• Jaxoms, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boynton Beach, FL
  • NPI 1811840267
  NPPES parent name
• Jaxoms, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cooper City, FL
  • NPI 1992634612
  NPPES parent name

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1316821044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14453 BEACH BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502081",
            "telephone_number": "904-821-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14453 BEACH BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502081",
            "telephone_number": "904-821-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAXOMS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZANE",
        "authorized_official_title_or_position": "DPST",
        "authorized_official_telephone_number": "904-483-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jax'S Family Care and Research Center, P.a.
• Jaxcare Transportation Services LLC
• Jaxmediride, LLC
• Dinesh Jayadevappa, M.D.
• Isuru Sampath Jayaratna, M.D.
• Shannon Jaycox, LCSW
• Jaydoc LLC
• Jayshree a. Patel DDS PA

• Oral and Maxillofacial Surgery (Dentist) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.