Individual provider Active NPI

Vatsala Jajoo, DMD

  • Dentist
  • Alpharetta, GA
National Provider Identifier
1912210246
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN122515 Issued in GA
Practice address
9745 Rod Rd
Alpharetta, GA 30022-7563
Phone
(217) 220-3716
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.028393 IL
Dentist 122300000X DN122515 GA Primary

Addresses

Primary practice location

9745 Rod Rd
Alpharetta, GA 30022-7563

Mailing address

1455 Old Alabama Rd Ste 120
Roswell, GA 30076-2164
Phone (217) 220-3716

Other identifiers 1

IdentifierTypeStateIssuer
DN122515OtherGADENTAL LICENSE

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

State licenses

LicenseStateTypeSpecialty
DN122515GAMDDentist
019.028393ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
V Smile LLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

1455 Old Alabama Rd
Ste 120
Roswell, GA 30076
Phone (770) 587-4202

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1912210246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 OLD ALABAMA RD STE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762164",
            "telephone_number": "217-220-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 ROD RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227563",
            "telephone_number": "217-220-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAJOO",
        "first_name": "VATSALA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028393",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN122515",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.