Jay Platt DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12008814A Issued in IN

Legal business name

JAY PLATT DDS PC

Practice address

322 Indianapolis Boulevard
Suite 100
Schererville, IN 46375-2656

Phone

(219) 864-1133

Fax

(219) 864-9203

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay C Platt, D.D.S.NPI 1518948041

Title

President

Phone

(219) 864-1133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Jay Christopher Platt, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Schererville, IN
  • NPI 1518948041
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1548465339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 INDIANAPOLIS BOULEVARD",
            "address_2": "SUITE 100",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752656",
            "telephone_number": "219-864-1133",
            "fax_number": "219-864-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 INDIANAPOLIS BOULEVARD",
            "address_2": "SUITE 100",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752656",
            "telephone_number": "219-864-1133",
            "fax_number": "219-864-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY PLATT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-864-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12008814A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzana Ivetic, RPH
• Christina Ann Iwachiw, MACCCSLP
• J M Elliott Inc
• J. M. Elliott, Inc.
• Upasna Janu
• Kimberly A Jayjack, ACNS
• Andrew Jellema, PT
• Elishia Marie Jennings, LCSW
• Victoria Jipping, ANP-BC
• John a Hoehn DO PC

• Oral and Maxillofacial Surgery (Dentist) in Schererville, IN
• Providers in Schererville, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.