Jay Vaikuntam, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D7880 Issued in OR

Practice address

155 NW Hickory St
Albany, OR 97321-1724

Phone

(541) 928-1509

Fax

(541) 928-1522

NPI assigned

Jan 30, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• F & G Investments, LLC

  • Pediatric Dentistry
  • Albany, OR
  • NPI 1518171115
  NPD (past)
• Pediatric Dental Associates of Salem

  • Pediatric Dentistry
  • Salem, OR
  • NPI 1851041123
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336286517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NW HICKORY ST",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211724",
            "telephone_number": "541-928-1509",
            "fax_number": "541-928-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NW HICKORY ST",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211724",
            "telephone_number": "541-928-1509",
            "fax_number": "541-928-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIKUNTAM",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D7880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ulrich
• Robin Anne Undlin, M.S., CCC-SLP
• Robyn Urbach
• Deborah Ann Uri, RN
• Victoria A Usher, RN
• Valley Health Acupuncture LLC
• Wayne Van de Graaff
• Christopher Van Doran, LD
• Jeana Barbara Van Dyke, RD, LD, CDE
• Logan Van Essen

• Pediatric Dentistry in Albany, OR
• Providers in Albany, OR by specialty
• Pediatric Dentistry in Oregon

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.