Individual provider Active NPI

Jay C. Cagata, DMD,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cape Coral, FL
National Provider Identifier
1891753711
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN0014424 Issued in FL
Practice address
2534 SE Santa Barbara PL # 101
Cape Coral, FL 33904
Phone
(239) 574-3323
Fax
(239) 574-2381
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN0014424 FL Primary

Addresses

Primary practice location

2534 SE Santa Barbara PL # 101
Cape Coral, FL 33904

Mailing address

2534 SE Santa Barbara PL # 101
Cape Coral, FL 33904-2709
Phone (239) 574-3323

Other practice location 1

1537 Brantley Rd
Ft Myers, FL 33907-3923
Phone (239) 275-0550

Other practice location 2

1537 Brantley Rd
Ft Myers, FL 33907-3923
Phone (239) 275-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN0014424FLMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1891753711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 SE SANTA BARBARA PL # 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339042709",
            "telephone_number": "239-574-3323",
            "fax_number": "239-574-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 SE SANTA BARBARA PL # 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-574-3323",
            "fax_number": "239-574-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1537 Brantley Rd",
            "address_purpose": "LOCATION",
            "city": "Ft Myers",
            "state": "FL",
            "postal_code": "339073923",
            "country_code": "US",
            "telephone_number": "239-275-0550",
            "fax_number": "239-275-6990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1537 Brantley Rd",
            "address_purpose": "LOCATION",
            "city": "Ft Myers",
            "state": "FL",
            "postal_code": "339073923",
            "country_code": "US",
            "telephone_number": "239-275-0550",
            "fax_number": "239-275-6990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAGATA",
        "first_name": "JAY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DMD,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0014424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.