Dr. Nandaka Jayaweera, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8777 Issued in KY

Legal business name

DR. NANDAKA JAYAWEERA, DMD, PLLC

Doing business as

Gentle Excellence Dental

Practice address

4133 Taylor Blvd
Louisville, KY 40215-2341

Phone

(502) 368-8400

Fax

(502) 368-8423

NPI assigned

Mar 21, 2012

Last updated

Sep 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nandaka Jayaweera, DMDNPI 1750511259

Title

Owner

Phone

(502) 368-8400

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Gentle Excellence Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nandaka A Jayaweera, D.M.D.

  • Dentist
  • Louisville, KY
  • NPI 1750511259
  Authorized official Same address or phone

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1548535776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 TAYLOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152341",
            "telephone_number": "502-368-8400",
            "fax_number": "502-368-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 TAYLOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152341",
            "telephone_number": "502-368-8400",
            "fax_number": "502-368-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NANDAKA JAYAWEERA, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "JAYAWEERA",
        "authorized_official_first_name": "NANDAKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-368-8400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100194630",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "45608247",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NANDAKA JAYAWEERA'S NPI NUMBER",
            "identifier": "1750511259",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Excellence Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.