Active NPI
Vatsala Jajoo, DMD
- Dentist
- Alpharetta, GA
National Provider Identifier
1912210246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN122515
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN122515 | Other | GA | DENTAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN122515 | GA | MD | Dentist |
| 019.028393 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V Smile LLC | Current | 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.