Jak Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24349 Issued in TX

Legal business name

JAK DENTAL, PLLC

Practice address

10121 Lake June Rd
118
Dallas, TX 75217-3002

Phone

(949) 413-4940

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Hamid Kashani, DDS

Title

Member

Phone

(949) 413-4940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1902351414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 THOMAS AVE",
            "address_2": "339",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042729",
            "telephone_number": "949-413-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 LAKE JUNE RD",
            "address_2": "118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173002",
            "telephone_number": "949-413-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAK DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "KASHANI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "949-413-4940",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronak Jaisalmeria
• Sheba Jaison Joy, PA-C
• Rachel Jaison
• Sapna Jaiswal, M.D.
• Zenab Olajumoke Jaji-Drew, M.D.
• Jak Optical, LLC (Kirby Eye Center)
• James Jakes II, DC
• Tim Jakobsen
• Sophie A Jakubowich, AU.D.
• Brandon Robert Jakubowski, M.D.

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.