Organization Active NPI

Jeffrey M Javelet DDS

  • Endodontics
  • La Jolla, CA
National Provider Identifier
1467962936
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
29309 Issued in CA
Legal business name
JEFFREY M JAVELET DDS
Practice address
7855 Fay Ave Ste 210
La Jolla, CA 92037-4267
Phone
(858) 454-0366
Fax
(858) 454-8786
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Yvonne Bauman, RDA
Title
Receptionist
Phone
(858) 454-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 29309 CA Primary

Addresses

Primary practice location

7855 Fay Ave Ste 210
La Jolla, CA 92037-4267

Mailing address

7855 Fay Ave Ste 210
La Jolla, CA 92037-4267
Phone (858) 454-0366

National Provider Directory

National Provider Directory

Locations

7855 Fay Ave
Ste 210
La Jolla, CA 92037
Phone (858) 454-0366

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1467962936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE STE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374267",
            "telephone_number": "858-454-0366",
            "fax_number": "858-454-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE STE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374267",
            "telephone_number": "858-454-0366",
            "fax_number": "858-454-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M JAVELET DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "858-454-0366",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "29309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.