Organization Active NPI

Jaishiva PA

  • Dental Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1669068375
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAISHIVA PA
Practice address
466 SW Port St Lucie Blvd Ste 117
Port Saint Lucie, FL 34953-2091
Phone
(772) 918-9034
Fax
(772) 918-9022
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Dr. Payal P Chokshi, DMDNPI 1770714578
Title
Dentist/Owner
Phone
(561) 703-0219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

466 SW Port St Lucie Blvd Ste 117
Port Saint Lucie, FL 34953-2091

Mailing address

466 SW Port St Lucie Blvd Ste 117
Port Saint Lucie, FL 34953-2091
Phone (772) 918-9034

National Provider Directory

National Provider Directory

Locations

466 SW Port St Lucie Blvd
Ste 117
St Lucie West, FL 34953
Phone (722) 291-0149

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1669068375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 SW PORT ST LUCIE BLVD STE 117",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532091",
            "telephone_number": "772-918-9034",
            "fax_number": "772-918-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 SW PORT ST LUCIE BLVD STE 117",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532091",
            "telephone_number": "772-918-9034",
            "fax_number": "772-918-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAISHIVA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "CHOKSHI",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "561-703-0219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.