JCL Oral Surgery Inc.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

JCL ORAL SURGERY INC.

Practice address

11020 SW 88TH St Ste 106
Miami, FL 33176-1217

Phone

(305) 279-8600

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By 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

Dr. Juan Carlos Lazo, DMDNPI 1053705624

Title

President

Phone

(305) 279-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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.

• Juan Carlos Lazo, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
  • NPI 1053705624
  Medicare reassignment NPD Authorized official
• Jeffrey Marc Eisner, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Miami, FL
  • NPI 1982692174
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1609585066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 SW 88TH ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761217",
            "telephone_number": "305-279-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 SW 88TH ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761217",
            "telephone_number": "305-279-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCL ORAL SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-279-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1053705624",
            "identifier": "1053705624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• JCM Eeuu Corporation (JCM Optical)
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• JCM Radiology LLC
• JCR Rehabilitation Services

• Oral & Maxillofacial Surgery (D.M.D.) in Miami, FL
• Providers in Miami, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.