Jack T. Kayton III,DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007877 Issued in VA

Legal business name

JACK T. KAYTON III,DDS, PLLC

Practice address

315 Old Ivy Way
Suite 101
Charlottesville, VA 22903-4894

Phone

(434) 977-3939

Fax

(434) 984-1728

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Patricia A Firer

Title

Business Manager

Phone

(434) 977-3939

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack T Kayton III, DDS

  • General Practice Dentistry
  • Charlottesville, VA
  • NPI 1548286131
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376569970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 OLD IVY WAY",
            "address_2": "SUITE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034894",
            "telephone_number": "434-977-3939",
            "fax_number": "434-984-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OLD IVY WAY",
            "address_2": "SUITE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034894",
            "telephone_number": "434-977-3939",
            "fax_number": "434-984-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK T. KAYTON III,DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIRER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "434-977-3939"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Kaye Halsey, M.D., PC
• Ja Cantu Service Group LLC
• Michael G Jabalee, LIC. AC., M. AC.
• Natalie Jablonski
• Amir Jabr, MD
• Adam C Jackson, MD
• Brice Springer Jackson, D.C.
• Denise L. Jackson, P.A.
• Jaelyn Taylor Jackson
• James C Jackson, LPC

• General Practice Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.