Jay Vaikuntam DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JAY VAIKUNTAM DDS PC

Practice address

2020 Commercial St SE
Salem, OR 97302-5208

Phone

(503) 364-7545

Fax

(503) 540-7911

NPI assigned

Sep 1, 2026

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

JAY VAIKUNTAM DDS PCAs reported in NPPES

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

Authorized official

Name

Cassandra Wieth

Title

Director of Payer Relations

Phone

(623) 267-8121

Specialties & licenses 1

Addresses

Tax ID family

Jay Vaikuntam DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jay Vaikuntam DDS PC

  • Pediatric Dentistry
  • Albany, OR
  • NPI 1447168026
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jay Vaikuntam DDS PC

  • Pediatric Dentistry
  • Albany, OR
  • NPI 1447168026
  NPPES parent name

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1568370153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025208",
            "telephone_number": "503-364-7545",
            "fax_number": "503-540-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025208",
            "telephone_number": "503-364-7545",
            "fax_number": "503-540-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY VAIKUNTAM DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAY VAIKUNTAM DDS PC",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torey Jarrett
• Jeffrey F Jarvi, PAC
• Sophia Jarvis, MFT ASSOCIATE
• Wilnise Jasmin, MD
• Erin Jasper, BS, QMHA
• Jbee Pacific Home Care LLC
• JD Health and Wellness Center
• JD Health and Wellness Center
• JD Health and Wellness Center, Inc
• Jean Thompson Vanlue LLC

• Pediatric Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.