Eliza Jaria, DDS, MPH

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

36524 Issued in TX

Practice address

2301 Clear Creek Rd Ste 106
Killeen, TX 76549-4198

Phone

(254) 285-2014

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bandera Modern Dentistry, PC

  • Dentist
  • San Antonio, TX
  • NPI 1184981433
  NPD (past)
• Kitty Hawk Smiles Dentistry and Orthodontics, PC

  • General Practice Dentistry
  • Universal City, TX
  • NPI 1245599539
  NPD (past)

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1407460934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 FOREMOST DR APT 1305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457336",
            "telephone_number": "650-495-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CLEAR CREEK RD STE 106",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494198",
            "telephone_number": "254-285-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9234 N Loop 1604 W Ste 121&123",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782492983",
            "country_code": "US",
            "telephone_number": "210-681-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Kitty Hawk Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "TX",
            "postal_code": "781483962",
            "country_code": "US",
            "telephone_number": "210-566-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARIA",
        "first_name": "ELIZA",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "36524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jampala Psychiatric Associates, P.a.
• Vijay Jampala, MD
• Briley Janaskie
• Laura Anne Janecek, PA
• Janelle Dietze LLC
• Cortney L Jarvis, PT
• Maritza Jean-Joseph
• Ayesha Jean
• Jeanice Amy Mitchell
• Deborah Jebakumar

• Orthodontics and Dentofacial Orthopedics Dentistry in Killeen, TX
• Providers in Killeen, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.