Individual provider Active NPI

Jiten Jashwant Master, DDS, MS

  • Dentist
  • Clearwater, FL
National Provider Identifier
1912129487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14335 Issued in OH
Practice address
3023 Eastland Blvd
BLDG H, Suite 112
Clearwater, FL 33761-4106
Phone
(717) 797-5161
Fax
(727) 797-5121
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN14335 OH Primary

Addresses

Primary practice location

3023 Eastland Blvd
BLDG H, Suite 112
Clearwater, FL 33761-4106

Mailing address

3023 Eastland Blvd
BLDG H, Suite 112
Clearwater, FL 33761-4106
Phone (727) 797-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN14335OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912129487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD",
            "address_2": "BLDG H, SUITE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "727-797-5161",
            "fax_number": "727-797-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD",
            "address_2": "BLDG H, SUITE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "717-797-5161",
            "fax_number": "727-797-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "JITEN",
        "middle_name": "JASHWANT",
        "name_prefix": "Mr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "DN14335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.