Jeffrey Scott Paxman, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

65228 Issued in CA

Practice address

8112 Milliken Ave Suite 102
Rancho Cucamonga, CA 91730

Phone

(909) 558-4671

NPI assigned

Apr 20, 2015

Last updated

Sep 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpaxman81605@direct.llu.edu

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.

• Loma Linda University

  dba Loma Linda University School of Dentistry

  • Dental Clinic/Center
  • Loma Linda, CA
  • NPI 1639270846
  Medicare reassignment NPD
• Jeffrey S. Paxman, DDS, a Professional Corporation

  • Oral and Maxillofacial Surgery Clinic/Center
  • Redlands, CA
  • NPI 1972270890
  NPD Authorized official
• Grads Inc.

  dba Alumni Pharmacy of Loma Linda

  • Community/Retail Pharmacy
  • San Bernardino, CA
  • NPI 1720443526
  NPD

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1730576554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE SUITE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-558-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE SUITE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-558-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXMAN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "65228",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul S Chang Dental Group, Inc. (Wonderful Life Dental)
• Alexis Paulnitz
• Chase Pavlich
• Athanase Pavlidis, LMFT
• Susan Lynn Pavone, L.M.F.T.
• Darlyn Kimberly Payan Diego
• Kilee Renee Payan-Garcia
• Azadeh Paydar, D.D.S.
• Lydia Payne
• Ashley Paz, PT

• Oral and Maxillofacial Surgery (Dentist) in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.