Individual provider Active NPI

Abheer Nandakumar Jayakar, DDS

  • General Practice Dentistry
  • Rochester, MN
National Provider Identifier
1659561967
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14102 Issued in MN
Practice address
922 N Broadway
Rochester, MN 55906
Phone
(507) 289-5838
Fax
(507) 536-2762
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55801 CA
General Practice Dentistry 1223G0001X D14102 MN Primary

Addresses

Primary practice location

922 N Broadway
Rochester, MN 55906

Mailing address

922 N Broadway
Rochester, MN 55906
Phone (507) 289-5838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D14102MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1659561967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55906",
            "telephone_number": "507-289-5838",
            "fax_number": "507-536-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55906",
            "telephone_number": "507-289-5838",
            "fax_number": "507-536-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAKAR",
        "first_name": "ABHEER",
        "middle_name": "NANDAKUMAR",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55801",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.