Javiramel Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAVIRAMEL DENTAL PLLC

Practice address

5201 S Broadway Ave Ste 240
Tyler, TX 75703-3768

Phone

(323) 282-8318

NPI assigned

Jan 5, 2020

Organization subpart

No

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

Authorized official

Name

Javier Perez, DDSNPI 1255619466

Title

Manager/General Dentist

Phone

(323) 282-8318

Specialties & licenses 1

Addresses

Other names 1

• Times Square Family Dental 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.

• Javier Perez, D.D.S

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1255619466
  NPD Authorized official

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1528607702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S BROADWAY AVE STE 240",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033768",
            "telephone_number": "323-282-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S BROADWAY AVE STE 240",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033768",
            "telephone_number": "323-282-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIRAMEL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "MANAGER/GENERAL DENTIST",
        "authorized_official_telephone_number": "323-282-8318",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Times Square Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samakti Jariwala
• Shamonica Denise Jarju
• Ann O Jarrel, LCSW
• Danielle Zoya Jaul, DDS
• Monica Jauregui, MD
• JDG Provider Services LLC
• John Glynn Jeansonne, CRNA
• Christen Taylor Jefcoat-Ferriss, LPC
• Alysen Jefferson, SLP-ASSISTANT
• Kiara Jefferson

• Dental Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.