Jeffrey Michael Javelet, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

29309 Issued in CA

Practice address

7855 Fay Avenue
Suite 210
La Jolla, CA 92037

Phone

(858) 454-0366

Fax

(858) 454-8786

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

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

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.

• Jeffrey M Javelet DDS

  • Endodontics
  • La Jolla, CA
  • NPI 1467962936
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861589657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE",
            "address_2": "SUITE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374265",
            "telephone_number": "858-454-0366",
            "fax_number": "858-454-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 FAY AVENUE",
            "address_2": "SUITE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-454-0366",
            "fax_number": "858-454-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVELET",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "29309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronwyn Jarvis, P.T.
• Jonathan R Jaseniuk, P.A.
• Jaclyn Marja Jaskowiak, PHARM.D.
• Jason R. Kornberg, M.D., a Professional Corporation
• Max Joseph Jason, MD
• Johnnie Gayle Javidan, FNP-C
• Pooya Javidan, M.D.
• Jay'S Heart
• JD Imaging, Inc.
• Jeffrey a. Umansky, M.D., a Medical Corporation

• Endodontics in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.