NPIMap

Organization Active NPI

John F. Jimenez, D.D.S., P.C

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1043486970
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026022 Issued in IL
Legal business name
JOHN F. JIMENEZ, D.D.S., P.C
Practice address
3360 Lacrosse LN
Suite #100
Naperville, IL 60564-8136
Phone
(630) 369-4477
Fax
(630) 369-4422
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. John F. Jimenez, D.D.S.NPI 1457419129
Title
President/Owner
Phone
(630) 369-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019026022 IL Primary

Addresses

Primary practice location

3360 Lacrosse LN
Suite #100
Naperville, IL 60564-8136

Mailing address

3360 Lacrosse LN
Suite #100
Naperville, IL 60564-8136
Phone (630) 369-4477

Other names 1

  • Frontier Place Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3360 Lacrosse Ln
Ste 100
Naperville, IL 60564
Phone (630) 369-4477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1043486970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 LACROSSE LN",
            "address_2": "SUITE #100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648136",
            "telephone_number": "630-369-4477",
            "fax_number": "630-369-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 LACROSSE LN",
            "address_2": "SUITE #100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648136",
            "telephone_number": "630-369-4477",
            "fax_number": "630-369-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. JIMENEZ, D.D.S., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-369-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Place Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.