Jaxoms, P.A.
NPI 1992634612 · Oral and Maxillofacial Surgery (Dentist) · Cooper City, FL
Jaxoms, P.A. is a Oral and Maxillofacial Surgery (Dentist) organization in Cooper City, FL (NPI 1992634612).
Provider details
- NPI number
- 1992634612
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Jaxoms, P.A.
- Organization subpart
- Yes
- Authorized official
- Jenn Heritage, Credentialing Manager(402) 805-4516
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Coastal Dental Implants & Oral Surgery
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Jaxoms, P.A.'s NPI number?
- Jaxoms, P.A.'s National Provider Identifier (NPI) is 1992634612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jaxoms, P.A.?
- Jaxoms, P.A. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Jaxoms, P.A. located?
- Jaxoms, P.A.'s practice location on file with NPPES is 9900 Stirling Rd Ste 300, Cooper City, FL 33024-8066.
- What is Jaxoms, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Jaxoms, P.A. is (402) 805-4516.
- Who is the authorized official for Jaxoms, P.A.?
- The authorized official listed on Jaxoms, P.A.'s NPPES record is Jenn Heritage, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jaxoms, P.A.'s NPI active?
- Yes — Jaxoms, P.A.'s NPI (1992634612) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.