DR. JAY VAIKUNTAM (NPI# 1336286517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336286517 |
| Entity Type | Individual |
| Full Name | DR. JAY VAIKUNTAM |
| Credential | DDS |
| Practice Address |
155 Nw Hickory St Albany OR 97321-1724 |
| Practice Telephone | 5419281509 |
| Practice Fax Number | 5419281522 |
| Mailing Telephone | 5419281509 |
| Mailing Fax Number | 5419281522 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D7880 | OR | Dental Providers |
| Street Address |
155 NW HICKORY ST |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518171115 | F & G Investments, LLC | Dentist | 155 Nw Hickory St, Suite A, Albany, OR 97321-1724 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528147394 | Steven Dwight Sample | Dentist | 2301 Lullwater Rd, Albany, GA 31707-3180 | 2006-11-03 |
| 1750378931 | Lawrence Alan Kotlow | Dentist | 340 Fuller Rd, Albany, NY 12203-3647 | 2005-10-03 |
| 1003423641 | Honeymint Pediatric Dentistry LLC | Dentist | 2350 14th Ave Se, Albany, OR 97322-6800 | 2020-09-28 |
| 1578045258 | Juwon Park Dmd PC | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-08-30 |
| 1336531185 | Kenneth Steve Sellers Jr. | Dentist | 2301 Lullwater Rd, Albany, GA 31707-3180 | 2015-03-02 |
| 1972928158 | Eddie Ronald Fields Jr. | Dentist | 2301 Lullwater Rd, Albany, GA 31707-0001 | 2014-02-25 |
| 1922430487 | So & Valdez, A Professional Dental Corporatiom | Dentist | 847 San Pablo Ave, Albany, CA 94706-1602 | 2013-08-06 |
| 1881936441 | Pediatric Dentistry of Albany,pllc | Dentist | 980 Western Ave, Albany, NY 12203-2799 | 2013-03-21 |
| 1922338128 | Jeannette Marie Pope-ozimba | Dentist | 1505 W 3rd Ave, Ste A, Albany, GA 31707-3647 | 2010-01-11 |
| 1083866982 | John Juwon Park | Dentist | 4 Executive Park Dr, Albany, NY 12203 | 2008-10-22 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.