Edmund W. Jay, D.D.S.,Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

36384 Issued in CA

Legal business name

EDMUND W. JAY, D.D.S.,INC.

Practice address

3737 Moraga Ave
B-300
San Diego, CA 92117-5404

Phone

(858) 270-0682

Fax

(858) 270-0685

NPI assigned

Oct 31, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edmund Walt Jay, D.D.S.NPI 1154711521

Title

President / Owner Dentist

Phone

(858) 270-0682

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Edmund Walt Jay, D.D.S.

  • Dentist
  • San Diego, CA
  • NPI 1154711521
  NPD (past) Authorized official

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

{
    "created_epoch": "1288483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288483200000",
    "number": "1679873186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE",
            "address_2": "B-300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175404",
            "telephone_number": "858-270-0682",
            "fax_number": "858-270-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE",
            "address_2": "B-300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175404",
            "telephone_number": "858-270-0682",
            "fax_number": "858-270-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND W. JAY, D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-31",
        "last_updated": "2010-10-31",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "WALT",
        "authorized_official_title_or_position": "PRESIDENT / OWNER DENTIST",
        "authorized_official_telephone_number": "858-270-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "36384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric William Edmonds, MD
• Jefferson Tucker Edmonds, MFT
• Kyle Palmer Edmonds, M.D., FAAHPM
• Matthew James Carlos Edmondson
• Elizabeth Edmonston, RN
• Benjamin Cal Edmunds, DDS
• Matthew Philip Edmunds, IDC
• Michelle Angelique Edmunds, M.D.
• Stephanie Edmunds
• Teresa Edmunds, RN, IBCLC

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2010; 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.