Physician Compare National (NPI:1740629088)

HEALTHCARE PROVIDER: JAISRI R THOPPAY DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740629088
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072823434
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191126001475
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOPPAY
	Individual professional last name
Provider First Name	JAISRI
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DENTIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DENTIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7151 UNIVERSITY BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 110
	Group Practice or individual's line 2 address
City	WINTER PARK
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	327926724
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y