Jack T Kayton III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007877 Issued in VA

Practice address

315 Old Ivy Way
Suite 101
Charlottesville, VA 22903-4894

Phone

(434) 977-3939

Fax

(434) 984-1728

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 21, 2016 through Apr 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jack T. Kayton III,DDS, PLLC

  • General Practice Dentistry
  • Charlottesville, VA
  • NPI 1376569970
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548286131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 OLD IVY WAY",
            "address_2": "SUITE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034894",
            "telephone_number": "434-977-3939",
            "fax_number": "434-984-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OLD IVY WAY",
            "address_2": "SUITE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034894",
            "telephone_number": "434-977-3939",
            "fax_number": "434-984-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYTON",
        "first_name": "JACK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Kawamoto, MS, RD, CSSD
• Dillon Kayser, MD
• Joseph Kayser, PH.D.
• Micah Kayser
• Samantha Morgan Kayser, OD
• Sydney Danielle Keane, RDN
• James W. Kearns IV, PA-C
• Kathryn Kearns, MD
• Katherine Geroe Keating, MS, LCGC
• Dean H. Kedes

• General Practice Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.