Jay Kansal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013686 Issued in GA

Practice address

2480 Windy Hill Rd SE Ste 405
Marietta, GA 30067-8658

Phone

(770) 952-0136

NPI assigned

Jun 14, 2007

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Dr. Jay K. Kansal, DMD, PC

  dba Cobb Smiles Dental

  • Dentist
  • Marietta, GA
  • NPI 1245620558
  Authorized official Same address or phone

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1548464381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678658",
            "telephone_number": "770-952-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678658",
            "telephone_number": "770-952-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANSAL",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umasai Kandepu, MD
• Steven M. Kane, M.D.
• George J Kanes, M.D.
• Jung Soo Kang, PT, DPT
• Seokmi Kang Sr., REGISTERED NURSE
• Sarita Kansal, M.D.
• Narendra K Kanuru, M.D.
• Richa Kapil, DO. PHD.
• Sara Kaplan, PA-C
• Monika S Karakattu, MD

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.