Rony Jfouf Ibrahim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11963 Issued in TN

Practice address

4730 Lebanon Pike Ste 101
Hermitage, TN 37076-1313

Phone

(615) 219-5722

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• MS PPO C-SNP
• TN PPO C-SNP
• MS PPO D-SNP
• KY PPO C-SNP
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Smilez Dentistry, PLLC

  • General Practice Dentistry
  • Clarksville, TN
  • NPI 1184572810
  NPD Authorized official
• Hermitage Modern Dentistry, PC

  dba Hermitage Modern Dentistry

  • General Practice Dentistry
  • Hermitage, TN
  • NPI 1063086080
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1003541368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 ANNAPOLIS CIR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763678",
            "telephone_number": "931-591-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 LEBANON PIKE STE 101",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761313",
            "telephone_number": "615-219-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JFOUF IBRAHIM",
        "first_name": "RONY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan K James, LMFT
• Martha Jameson
• Kayla Janovsky
• Abigail Leigh Jennings, M.D.
• Jessica Jernigan, P.A.
• John H Friedmann Jr DDS PLLC (Hermitage Dental Group)
• John W Interlandi
• Amy H Johnson, PHD
• Margreete Gaye Johnston, M.D., MPH
• Jasmine R Jones

• Dentist in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.