Active NPI
Jay C. Cagata, DMD,MD
- Oral and Maxillofacial Surgery (Dentist)
- Cape Coral, FL
National Provider Identifier
1891753711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN0014424
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN0014424 | FL | MD | Oral 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.