Active NPI
Jay M Wylam, DMD
- Periodontics
- Salem, OR
National Provider Identifier
1699773770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6637
- Practice address
- 2605 12TH PL SE
Salem, OR 97302-2576 - Phone
- (503) 585-4281
- Fax
- (503) 585-7427
- NPI assigned
- Jul 12, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6637 | OR | Primary |
Addresses
Primary practice location
2605 12TH PL SE
Salem, OR 97302-2576
Mailing address
2605 12TH PL SE
Salem, OR 97302-2576
Phone (503) 585-4281
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6637 | OR | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John H. Seifert DMD PC | Past | Accepting new patients | |
| Andres R Kaindl DDS | Periodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Salem, OR
- NPI 1477726321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699773770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 12TH PL SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022576",
"telephone_number": "503-585-4281",
"fax_number": "503-585-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 12TH PL SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022576",
"telephone_number": "503-585-4281",
"fax_number": "503-585-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLAM",
"first_name": "JAY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OR",
"license": "6637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
- WVP Medical Group, LLC (Michael W Kelber, MD)
- WVP Medical Group, LLC (WVP Medical Group- Boulder Creek)
- WVP Medical Group, LLC (Clinical Support Providers)
- WVP Medical Group, LLC (WVP The Doctors Clinic)
- Kimberly Wyatt, MSW
- Michael L Wynn I, D.O.
- Xin Xiang, RN
- Rebecca Beaudry Xiong, DPT
- NA Xu, DDS
- Yu Cynthia Xu, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.