Barry Richard Jaffe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013685 Issued in OH

Practice address

6285 Pearl Rd
Suite 11
Parma Heights, OH 44130-3070

Phone

(440) 845-0700

Fax

(440) 845-9855

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barry R. Jaffedds,Inc

  • General Practice Dentistry
  • Parma Heights, OH
  • NPI 1083875447
  NPD (past) Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1669425930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 PEARL RD",
            "address_2": "SUITE 11",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303070",
            "telephone_number": "440-845-0700",
            "fax_number": "440-845-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 PEARL RD",
            "address_2": "SUITE 11",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303070",
            "telephone_number": "440-845-0700",
            "fax_number": "440-845-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "BARRY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "013685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Humphrey
• I Am Boundless, Inc.
• Independent Apn, LLC
• Integrated Health Care Center, LLC
• Sree Latha Krishna Jadapalle
• Jessica Marie B Jerdine
• Jordan M Job, DDS
• Mia Johnson
• Weaver Jones
• Casimir A Karbowski, LPCC

• General Practice Dentistry in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.