Jerry Marshal Layne, M.D., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN1110 Issued in FL

Practice address

7231 SW 63Rd Ave
South Miami, FL 33143-4809

Phone

(305) 667-1191

Fax

(305) 667-2712

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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 and National Provider Directory roles.

• Fred Pedroletti DMD PA

  • Dental Clinic/Center
  • South Miami, FL
  • NPI 1659770592
  NPD
• Oral Surgery & Implant Center

  • Oral and Maxillofacial Surgery Clinic/Center
  • South Miami, FL
  • NPI 1760964977
  NPD
• Sclar Oral Surgery PA

  • Oral and Maxillofacial Surgery (Dentist)
  • South Miami, FL
  • NPI 1710921036
  NPD (past)
• South Florida Jaw and Facial Surgery-Dental Implants Center PA

  • Oral and Maxillofacial Surgery (Dentist)
  • South Miami, FL
  • NPI 1578114443
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1679654644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAN REMO AVE STE 100",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463043",
            "telephone_number": "305-667-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 SW 63RD AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434809",
            "telephone_number": "305-667-1191",
            "fax_number": "305-667-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "JERRY",
        "middle_name": "MARSHAL",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lau, MD
• Laurie E. Blach MD PA
• Lya Lauture
• Annmarie Law, PH.D.
• Lawrence M Welkovich MD PA
• Yohana Leal Darias Sr.
• Vanessa Alida Leal-de Rojas, ARNP-BC
• Leavitt Medical Associates of Florida Inc
• Eric K Lebbeney-Bandar, D.O., MSC
• Andre Christian Ledoux, DMD

• Oral and Maxillofacial Surgery (Dentist) in South Miami, FL
• Providers in South Miami, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.