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.

OrganizationActive

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

Practice location

9900 Stirling Rd Ste 300

Cooper City, FL 33024-8066

Phone: (402) 805-4516

Street-level locationGet directions

More FL providers

Mailing address

9900 Stirling Rd Ste 300

Cooper City, FL 33024-8066

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers

Other names (DBA / former)

Doing business as: Coastal Dental Implants & Oral Surgery

Profile Score

Established profile(53/100 index)

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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions