Jacqueline Palaisa DMD Ms

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JACQUELINE PALAISA DMD MS

Doing business as

Palaisa Orthodontics, LLC

Practice address

151 Bishop Murphy Dr Ste B
Frostburg, MD 21532-1329

Phone

(301) 689-9111

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Renee Palaisa, DMD MSNPI 1306825484

Title

Orthodontist

Phone

(301) 689-9111

Specialties & licenses 1

Addresses

Other names 1

• Palaisa Orthodontics, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Renee Palaisa, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frostburg, MD
  • NPI 1306825484
  NPD Authorized official

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1427878479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BISHOP MURPHY DR STE B",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321329",
            "telephone_number": "301-689-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BISHOP MURPHY DR STE B",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321329",
            "telephone_number": "301-689-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE PALAISA DMD MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "PALAISA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "301-689-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palaisa Orthodontics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Hartman
• Caitlyn Heavner, OTR/L
• Katie Hovis, COTA/L
• Misty Marie Jackson, PTA
• Wendy Jacobs
• Beth Ann Jeter
• Omowunmi Jolaoso, ATC, CSCS
• Hillary Nicole Jones, LAT, ATC
• Jenneh Musu Kanu
• Kaylor Frostburg LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Frostburg, MD
• Providers in Frostburg, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.