Vijay Jain, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6357 Issued in AZ

Practice address

13522 Newport Ave Ste 102
Tustin, CA 92780-3707

Phone

(949) 529-1095

NPI assigned

Jan 21, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mobile Dentistry of Ca Inc

  • Customized Equipment (DME)
  • Tustin, CA
  • NPI 1174975882
  NPD (past) Authorized official
• Modern Dental Professionals Az, PC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1376814012
  NPD (past)

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1710218326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRAGG",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203306",
            "telephone_number": "949-529-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13522 NEWPORT AVE STE 102",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803707",
            "telephone_number": "949-529-1095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13522 Newport Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803707",
            "country_code": "US",
            "telephone_number": "949-529-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Jacquez-Jaramillo, CCC-SLP
• Jae Hee Kwak DMD Inc
• Jennifer Jaeger, MS
• Safaeddin Jahanbani, D.D.S.
• Sara Jahangiri
• Jamboree Optometry Inc
• Jamellow LLC
• James Q Bui DDS a Professional Dental Corporation
• Hana Mae James, PT, DPT
• Selise James, PA

• Dentist in Tustin, CA
• Providers in Tustin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.