Jyoti Bansal

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

2220 County Road 210 W Ste 312
St Johns, FL 32259-4059

Phone

(904) 825-9960

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1992566988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W CLOVELLY LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925001",
            "telephone_number": "904-599-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 COUNTY ROAD 210 W STE 312",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594059",
            "telephone_number": "904-825-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "JYOTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela M Austin, PT
• Avecina Medical, PA
• Avecina Medical, PA
• Avecina Medical, PA
• Jennifer L. Balo, O.D.
• Baptist Primary Care Inc
• Baptist Primary Care Inc
• Baptist Primary Care Inc
• Royce M Barlow, DMD
• Desteni Mariah Barnes, PA-C

• Dental Hygienist in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.