Individual provider Active NPI

Jay Ghosh, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Allen, TX
National Provider Identifier
1356449516
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19161 Issued in TX
Practice address
1780 W McDermott Dr
Suite 100
Allen, TX 75013-3361
Phone
(214) 547-0001
Fax
(214) 547-1500
NPI assigned
Sep 20, 2006
Last updated
Apr 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19161 TX Primary

Addresses

Primary practice location

1780 W McDermott Dr
Suite 100
Allen, TX 75013-3361

Mailing address

1780 W McDermott Dr
Suite 100
Allen, TX 75013-3361
Phone (214) 547-0001

Other names 1

  • Dr. Joydeep Ghosh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19161TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekview Orthodontics, P.a. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1356449516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 W MCDERMOTT DR",
            "address_2": "SUITE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133361",
            "telephone_number": "214-547-0001",
            "fax_number": "214-547-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 W MCDERMOTT DR",
            "address_2": "SUITE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133361",
            "telephone_number": "214-547-0001",
            "fax_number": "214-547-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "19161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYDEEP",
            "last_name": "GHOSH",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.