Individual provider Active NPI

Jayashree Rajesh Thorat, DDS

  • Dentist
  • Mechanicsburg, PA
National Provider Identifier
1699384834
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS042822 Issued in PA
Practice address
6416 Carlisle Pike Ste 500
Mechanicsburg, PA 17050-2884
Phone
(717) 766-2200
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS042822 PA Primary

Addresses

Primary practice location

6416 Carlisle Pike Ste 500
Mechanicsburg, PA 17050-2884

Mailing address

5210 Villa Way Apt 356
Minneapolis, MN 55436-2150
Phone (330) 313-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS042822PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Desai Dental Associates DDS, PC PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1699384834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 VILLA WAY APT 356",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554362150",
            "telephone_number": "330-313-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 CARLISLE PIKE STE 500",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502884",
            "telephone_number": "717-766-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORAT",
        "first_name": "JAYASHREE",
        "middle_name": "RAJESH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.