Individual provider Active NPI

Jay R Ayass, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1487614822
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6820 Issued in AZ
Practice address
9836 Foothill Blvd # 6-116
Rancho Cucamonga, CA 91730-3660
Phone
(909) 702-3467
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6820 AZ Primary

Addresses

Primary practice location

9836 Foothill Blvd # 6-116
Rancho Cucamonga, CA 91730-3660

Mailing address

PO Box 1914
Rancho Cucamonga, CA 91729-1914
Phone (909) 702-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6820AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nba Dental Group, PC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1487614822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1914",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917291914",
            "telephone_number": "909-702-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9836 FOOTHILL BLVD # 6-116",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303660",
            "telephone_number": "909-702-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYASS",
        "first_name": "JAY",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.