DR. JAYINI S THAKKER (MD, DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1386847648

DR. JAYINI S THAKKER (MD, DDS) is a healthcare provider. based in Colton, California. specializing in ORAL SURGERY, MAXILLOFACIAL SURGERY. They hold the professional credentials MD, DDS. They hold a License No. DDS59583 (CA). The NPI Number for DR. JAYINI S THAKKER (MD, DDS) is 1386847648

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAYINI S THAKKER (MD, DDS)
NPI
1386847648
Phone
(909) 580-3353
Address
400 N Pepper Ave Ste 308
Enumeration Date
6 June 2007
Last Update Date
12 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY
Secondary Phone
6618639995
Graduation Year
2011 (15 years ago)
PAC ID
0345476818
Group Practice PAC ID
6709256456
Professional Enrollment ID
I20131112001434
Address ID
CA933097451BA5555XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

141 ORAL SURGERY in CA

Provider Addresses for DR. JAYINI S THAKKER (MD, DDS)

  • 400 N Pepper Ave Ste 308

    Colton, CA 923241801

    Phone: (909) 580-3353

    Fax: (909) 580-1363

    Type: Location

  • 670, Peony Drive, Grand Junction, Mesa County, Colorado, 81507, United States

    REDLANDS, CA 92373

    Phone: (909) 580-3353

    Fax: (909) 580-1363

    Type: Mailing

  • 308, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    COLTON, CA 923241801

    Phone: (909) 580-3353

    Fax: (909) 580-1363

    Type: Location

  • 11092 ANDERSON ST RM 3306

    LOMA LINDA, CA 923501706

    Phone: (909) 558-4671

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Aroa Biosurgery Incorporated ($327).

Total Amount

$353

General + Research + Ownership

Payments

4

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131112001434IMaxillofacial SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709256456View full group profile
NameSpecialtyState
Oral SurgeryCA
Oral SurgeryPA
Maxillofacial SurgeryCA
Oral SurgeryCA

Reviews

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Frequently asked questions

Is there an official ID for DR. JAYINI S THAKKER (MD, DDS) in U.S. healthcare records?
The official identifier for DR. JAYINI S THAKKER (MD, DDS) is NPI 1386847648.
Is DR. JAYINI S THAKKER (MD, DDS) still an active registrant?
DR. JAYINI S THAKKER (MD, DDS) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JAYINI S THAKKER (MD, DDS)?
At a glance, DR. JAYINI S THAKKER (MD, DDS) is tied to Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JAYINI S THAKKER (MD, DDS)?
Travel planning: use Colton, California as the reference point for DR. JAYINI S THAKKER (MD, DDS), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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