Jyoti Jain, MD, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J9110 Issued in TX

Legal business name

JYOTI JAIN, MD, PA

Practice address

6448 Broadway Blvd
Garland, TX 75043-5943

Phone

(972) 216-8500

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jyoti Jain, M.D., P.A.

Title

Owner/Physician

Phone

(972) 216-8500

Specialties & licenses 3

Addresses

Other identifiers 5

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1336417039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435943",
            "telephone_number": "972-216-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435943",
            "telephone_number": "972-216-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTI JAIN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "972-216-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9110",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "J9110",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "717114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NICOLE LICENSE",
            "identifier": "717114",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JAIN TPI",
            "identifier": "111658401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NICOLE NPI",
            "identifier": "1508151994",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JAIN LICENSE",
            "identifier": "J9110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JAIN NPI",
            "identifier": "1932111945",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geena Joy, FNP
• JST Healthcare Services,Inc
• JTJ Marketing, Inc.
• Julie David Talaiver DDS, PLLC
• Katherine Jung
• Yasir M Kachroo
• Swapnil Rangnath Kadam, DDS
• Kadel Home Health Agency Inc
• Divya Kaila, MD
• Kairos Multispecialty Clinics

• Pediatrics Physician in Garland, TX
• Providers in Garland, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.