JJK DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

16372 Issued in FL

Legal business name

JJK DMD PA

Practice address

200 Seneca TRL
Maitland, FL 32751-4949

Phone

(321) 299-4059

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Justin J Katsur, DMD

Title

President

Phone

(321) 299-4059

Specialties & licenses 1

Addresses

Other names 1

• Yes Dental Associates of Florida Doing business as

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1427504141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SENECA TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "321-299-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SENECA TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514949",
            "telephone_number": "321-299-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJK DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "KATSUR",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-299-4059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "16372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yes Dental Associates of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Jerome
• Jerry N. Shuster, MD
• Mario Jette
• Paola Anais Jimenez Monedero
• Izamar Jimenez, CRNA
• Rachel Jockel, M.S.W.
• Abisha Merin John, M.S.
• Alan Gerald Johnson, M.D.
• Jessica N Johnson, LMHC
• Lori Johnson, APN

• Dentist in Maitland, FL
• Providers in Maitland, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.