Individual provider Active NPI

Edwin C Jauch III, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orchard Park, NY
National Provider Identifier
1922327592
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
047601 Issued in NY
Practice address
4370 S Taylor Rd
Orchard Park, NY 14127-4110
Phone
(716) 662-5000
NPI assigned
May 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 047601 NY Primary

Addresses

Primary practice location

4370 S Taylor Rd
Orchard Park, NY 14127-4110

Mailing address

4370 S Taylor Rd
Orchard Park, NY 14127-4110
Phone (716) 662-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222002191 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224333760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1922327592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 S TAYLOR RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274110",
            "telephone_number": "716-662-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 S TAYLOR RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274110",
            "telephone_number": "716-662-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUCH",
        "first_name": "EDWIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "047601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.