Individual provider Active NPI

Hemali B Javia, D.D.S.

  • Dentist
  • Monroe Township, PA
National Provider Identifier
1730262718
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS030763L Issued in PA
Practice address
2888 Sr 29 S
Monroe Noxen Health Center
Monroe Township, PA 18636-7854
Phone
(570) 298-2161
Fax
(570) 298-2148
NPI assigned
Oct 23, 2006
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS030763L PA Primary

Addresses

Primary practice location

2888 Sr 29 S
Monroe Noxen Health Center
Monroe Township, PA 18636-7854

Mailing address

1084 Route 315
Wilkes-Barre, PA 18702-7012
Phone (570) 825-8741

Other identifiers 1

IdentifierTypeStateIssuer
0018181570002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317000282 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092011049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS030763LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Corporation of Northeastern Pennsylvania PastSince Mar 9, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hemalijaviadds@rhc.medentdirect.com

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1730262718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 ROUTE 315",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187027012",
            "telephone_number": "570-825-8741",
            "fax_number": "570-825-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 SR 29 S",
            "address_2": "MONROE NOXEN HEALTH CENTER",
            "city": "MONROE TOWNSHIP",
            "state": "PA",
            "postal_code": "186367854",
            "telephone_number": "570-298-2161",
            "fax_number": "570-298-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIA",
        "first_name": "HEMALI",
        "middle_name": "B",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030763L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018181570002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe Township, PA

Sources for this page

Verify at the official NPI Registry.