Jeffrey Christopher Payne, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

46419 Issued in CA

Practice address

756 Porter Ave
Suite 400
Stockton, CA 95207-4232

Phone

(209) 951-6387

Fax

(209) 951-2824

NPI assigned

Jun 13, 2006

Last updated

Feb 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Nebraska College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Payne Sanghvi Oral and Maxillofacial SurgeryGroup PAC ID 7315176880, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Payne Sanghvi Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Stockton, CA
  • NPI 1588909964
  Medicare reassignment Care Compare group NPD Authorized official
• Bunch-Payne, Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Stockton, CA
  • NPI 1699818872
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1649213174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 PORTER AVE",
            "address_2": "SUITE 400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074232",
            "telephone_number": "209-951-6387",
            "fax_number": "209-951-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 PORTER AVE",
            "address_2": "SUITE 400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074232",
            "telephone_number": "209-951-6387",
            "fax_number": "209-951-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JEFFREY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "46419",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A89128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah R.a. Pavis, MT-BC
• Rebecca Payan
• Kylie Songcuya Payawal
• Payne Sanghvi Oral and Maxillofacial Surgery
• Audrey M. Payne, MD
• Keely Payne
• Sheilena Louise Payne, M.S.
• Teara Payton
• Miriam Paz
• Peace Partners Consulting Group (Peace Partners Group)

• Oral and Maxillofacial Surgery (Dentist) in Stockton, CA
• Providers in Stockton, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.