Jayakumar Jayaraman, BDS, MDS, MS, PHD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401417673 Issued in VA

Practice address

2924 Brook Rd
Richmond, VA 23220-1215

Phone

(804) 828-2362

Fax

(804) 827-1244

NPI assigned

Nov 4, 2020

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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 VA

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

Credentials

Master of Science, Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Jayaraman PLLC

  dba Blue Jay Pediatric Dentistry

  • Pediatric Dentistry
  • Glen Allen, VA
  • NPI 1043061336
  NPD Authorized official
• Williamsburg Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Newport News, VA
  • NPI 1033455449
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1861093957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 SPRING MOSS CIR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603425",
            "telephone_number": "210-589-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201215",
            "telephone_number": "804-828-2362",
            "fax_number": "804-827-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5388 Discovery Park Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888218",
            "country_code": "US",
            "telephone_number": "757-259-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYARAMAN",
        "first_name": "JAYAKUMAR",
        "credential": "BDS, MDS, MS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401417673",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jax Pathways LLC
• Deepthi Jayakumar
• Rajeswari Jayakumar, M.D
• Sreeja Jayakumar, FNP
• Archana Jayaram, M.D.
• Jaclyn Jayo
• Jays Med Transportation LLC
• JB Walker Natural Home Care LLC
• JDL Healthcare Services, Inc Dba Amada Senior Care Richmond West
• JDM of VA LLC

• Pediatric Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.