Active NPI
Jaytron Robert Charles, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Temple, PA
National Provider Identifier
1740701168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS043534
- Practice address
- 5318 Allentown Pike
Temple, PA 19560-1249 - Phone
- (610) 502-4553
- NPI assigned
- Jul 6, 2017
- Last updated
- Jul 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN1001818 | DC | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS043534 | PA | Primary |
Addresses
Primary practice location
5318 Allentown Pike
Temple, PA 19560-1249
Mailing address
329 E 132ND St Apt 3D
Bronx, NY 10454-4587
Phone (818) 564-5098
Other practice location 1
1100 Alabama Ave SE
Washington, DC 20032-4540
Phone (202) 380-5463
Other practice location 2
1553 Alabama Ave SE
Washington, DC 20032-5054
Phone (202) 610-3300
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1001818 | DC | MD | Dentist |
| DS043534 | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1740701168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 E 132ND ST APT 3D",
"city": "BRONX",
"state": "NY",
"postal_code": "104544587",
"telephone_number": "818-564-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5318 ALLENTOWN PIKE",
"city": "TEMPLE",
"state": "PA",
"postal_code": "195601249",
"telephone_number": "610-502-4553"
}
],
"practiceLocations": [
{
"address_1": "1100 Alabama Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200324540",
"country_code": "US",
"telephone_number": "202-380-5463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1553 Alabama Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200325054",
"country_code": "US",
"telephone_number": "202-610-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARLES",
"first_name": "JAYTRON",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-06",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN1001818",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS043534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.