K. Jayadevan, DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

K. JAYADEVAN, DDS PC

Practice address

1701 Sunrise Hwy
Bay Shore, NY 11706-6091

Phone

(631) 666-1440

Fax

(631) 666-1710

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Krishnaswamy Jayadevan, DDS

Title

Owner

Phone

(631) 666-1440

Specialties & licenses 1

Addresses

Other names 1

• Suffolk Dental Center Doing business as

Tax ID family

K Jayadevan DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K. Jayadevan DDS PC

  • Dentist
  • Center Moriches, NY
  • NPI 1194997460
  NPD tax ID

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1679745947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066091",
            "telephone_number": "631-666-1440",
            "fax_number": "631-666-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066091",
            "telephone_number": "631-666-1440",
            "fax_number": "631-666-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. JAYADEVAN, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "JAYADEVAN",
        "authorized_official_first_name": "KRISHNASWAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-666-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jojymol Joseph
• Kyle Joyner
• Jr Medical & Diagnostic Servides P.C.
• Alicia Julius
• Richard Sun Jung, M.D.
• Sevinc Itir Kadayifci, MD
• Edward W Kalten Jr., PT
• Seth Kaminsky, DDS
• Stephen G Kaminsky, RPA-C
• Joanne Kanaley

• Dentist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.