K Jayadevan DDS

Primary specialty

DentistTaxonomy code 122300000X

License

034016 Issued in NY

Legal business name

K JAYADEVAN DDS

Practice address

5801 Sunrise Hwy
Holbrook, NY 11741-4841

Phone

(631) 567-8899

Fax

(631) 567-8118

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By 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

Dr. Krishnaswamy Jayadevan, DDSNPI 1184849309

Title

Owner

Phone

(631) 567-8899

Specialties & licenses 1

Addresses

Other names 1

• Dental Health Services Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishnaswamy Jayadevan, DDS

  • General Practice Dentistry
  • Holbrook, NY
  • NPI 1184849309
  Authorized official Same address or phone

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1447422720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 SUNRISE HWY",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414841",
            "telephone_number": "631-567-8899",
            "fax_number": "631-567-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 SUNRISE HWY",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414841",
            "telephone_number": "631-567-8899",
            "fax_number": "631-567-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K JAYADEVAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "JAYADEVAN",
        "authorized_official_first_name": "KRISHNASWAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-567-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "034016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Denise Johns
• Diane Miller Johnson, LCSW
• Russell E Johnson, D.C.
• Jonathan Belmonte PT PLLC (Next Phase Physical Therapy)
• Stephen Michael Joseph, MA, PT, ATC, CSCS
• Abdul Kader
• Lauren Elizabeth Kane
• Liza Karnich, MSED
• C12 Karpinsky, LPN
• Merve Kaya

• Dentist in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.