Jay Kaplan, DDS – Endodontics in S Lake Tahoe, CA

Key facts

NPI: 1376824946
Entity type: Individual (NPI type 1)
Primary specialty: Endodontics 1223E0200X
License: DDS 28942 (CA)
Practice address: 2209 South Ave
Ste C
S Lake Tahoe, CA 96150-7037
Phone: (530) 542-4604
Fax: (530) 542-9073
NPI assigned: Sep 8, 2011
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Jay Kaplan DDS a Professional Corporation Endodontics · South Lake Tahoe, CA · NPI 1740451400

NPD (past) Authorized official ENDODONTICS

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
28942	CA	MD	Clinical Social Worker
DDS 28942	CA	MD	Endodontist

Practice roles

Organization	Specialty	Status	New patients
Jay Kaplan DDS a Professional Corporation	Endodontics	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Endodontics	1223E0200X	DDS 28942	CA	Yes

Addresses

Primary practice location

2209 South Ave
Ste C
S Lake Tahoe, CA 96150-7037

Mailing address

2209 South Ave
Ste C
S Lake Tahoe, CA 96150-7037
Phone (530) 542-4604

Other providers in S Lake Tahoe, CA

Joann H. Dohallow, PHYSICAL THERAPIST
Michelle F Hallam, D.C.
Sarah Beth Hockey, OTR
Leonard Peter Holmgren, MD
Jessica H Jones, PT
Esther Ludia Kulecho-King
Youngsyl Oh Lee, D.D.S.
Mark Matthew Lehmann, OD
Mountain Meadows Medical Group of California, Inc.
Patricia Jane Murphy, RN PHN

All providers in S Lake Tahoe, CA · Endodontics in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.