Javier Jara DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00062359 Issued in CA

Legal business name

JAVIER JARA DDS INC.

Practice address

820 San Fernando Rd
Suite 203
San Fernando, CA 91340-3321

Phone

(818) 742-7279

Fax

(818) 901-1586

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Javier E. Jara, DDS

Title

Dentist

Phone

(818) 742-7279

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1346400371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SAN FERNANDO RD",
            "address_2": "SUITE 203",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403321",
            "telephone_number": "818-742-7279",
            "fax_number": "818-901-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SAN FERNANDO RD",
            "address_2": "SUITE 203",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403321",
            "telephone_number": "818-742-7279",
            "fax_number": "818-901-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER JARA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-742-7279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "00062359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etsuko Takehana Jacobs, NP
• Marina Janzer
• Beatriz Jaramillo
• Edith Jauregui
• Rita Elvira Jauregui
• Mary Virginia Jeffries, MSW
• Jerry B Malleus, DDS Inc.
• Maria Avalos Jimenez, LVN
• Richard Keith John Jr.
• Gina Marie Johnson, M.D.

• General Practice Dentistry in San Fernando, CA
• Providers in San Fernando, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.