Jaded Joy Enterprises LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

JADED JOY ENTERPRISES LLC

Practice address

7940 Park Rd
Charlotte, NC 28210-6728

Phone

(844) 628-2388

NPI assigned

Oct 28, 2025

Last updated

Oct 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nikki Bailey, DDS

Title

Medical Director

Phone

(844) 628-2388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1396613600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106728",
            "telephone_number": "844-628-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADED JOY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "844-628-2388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard David Jacobson, MD, PHD
• Allison Jacomin
• Gretchen Jacox, LCSW-P
• Heather Jacques
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• Kerrith Lyn Jaeckel, M.D.
• Jaeda Jordan LLC
• Jaesan PC (SpeechWorks Therapy Services)
• Saeid Jafar-Pour, DDS
• Jaffe Chiropractic Clinic Inc PA

• Oral & Maxillofacial Surgery (D.M.D.) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.