Jay Elliott D D S PA

Primary specialty

DentistTaxonomy code 122300000X

License

12723 Issued in TX

Legal business name

JAY ELLIOTT D D S PA

Practice address

4005 Broadway St
Houston, TX 77087-4703

Phone

(713) 644-4331

Fax

(713) 644-1975

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay E Elliott, D.D.S.

Title

Owner Dentist

Phone

(713) 644-4331

Specialties & licenses 1

Addresses

Other names 1

• New Teeth Implant & Denture Solutions Doing business as

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1902936966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 BROADWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874703",
            "telephone_number": "713-644-4331",
            "fax_number": "713-644-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874703",
            "telephone_number": "713-644-4331",
            "fax_number": "713-644-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY ELLIOTT D D S PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "713-644-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "12723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Teeth Implant & Denture Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jawhealth Dental PLLC,
• Maryam Yasmeen Jawid, MD
• Jennifer Jaworski, RDLD
• Jay B Davis M.D., P.a.
• Jay Chavda M.D PA
• Jay Elliott DDS PA
• Jay Extensions LLC
• Jay Extensions LLC
• Kimberly Jay, PA
• Leela Sarojini Jayachandran

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.