K a Dental Group Jupiter, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19874 Issued in FL

Legal business name

K A DENTAL GROUP JUPITER, PA

Practice address

3755 Military TRL
Suite B2
Jupiter, FL 33458-2703

Phone

(561) 743-2699

Fax

(561) 743-2639

NPI assigned

Sep 10, 2015

Last updated

Sep 10, 2015By 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

Mr. Subodh P Nair

Title

Manager

Phone

(215) 390-6847

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1427426188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 MILITARY TRL",
            "address_2": "SUITE B2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582703",
            "telephone_number": "561-743-2699",
            "fax_number": "561-743-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 MILITARY TRL",
            "address_2": "SUITE B2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582703",
            "telephone_number": "561-743-2699",
            "fax_number": "561-743-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K A DENTAL GROUP JUPITER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SUBODH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-390-6847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19874",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jupiter Vascular Center LLC
• Jupiter Wellness Center, LLC
• Jupiter West Medical Center Inc
• Stephanie J Justine, PTA
• Patrick J Justiz, MD
• K. Grant Mansell, D.O., P.a.
• Sharada Kacham, DMD
• Suresh B Kacham, M.D.
• Jennifer J Kaeding
• Kairos Therapeutic Healing Center

• General Practice Dentistry in Jupiter, FL
• Providers in Jupiter, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.