Dr Barry Jaffe and Associates, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.013685 Issued in OH

Legal business name

DR BARRY JAFFE AND ASSOCIATES, INC

Practice address

5595 Transportation Blvd
Suite 250
Garfield Heights, OH 44125-5359

Phone

(216) 475-0505

Fax

(216) 475-9290

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Barry Richard Jaffe, D.D.S.

Title

Pres/Owner

Phone

(216) 475-0505

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Eugene Hudec Jr., D.M.D

  • Dentist
  • Garfield HTS, OH
  • NPI 1275820748
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1902070741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 TRANSPORTATION BLVD",
            "address_2": "SUITE 250",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255359",
            "telephone_number": "216-475-0505",
            "fax_number": "216-475-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 TRANSPORTATION BLVD",
            "address_2": "SUITE 250",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255359",
            "telephone_number": "216-475-0505",
            "fax_number": "216-475-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BARRY JAFFE AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "216-475-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.013685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0546314",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofiya Didyuk, RPH. PHARMD
• Tracy Dillaha
• Jacqueline M Dipierro, M.D.
• Demetriths Darnell Dixon
• Sandra R Dixon
• Cristie Draconi
• Lisa M Dunn, LISW
• Lavenia Antionette Dupree
• Sonja Diane Dupree
• Asia Durden

• General Practice Dentistry in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.