JDC Healthcare Management , PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31642 Issued in TX

Legal business name

JDC HEALTHCARE MANAGEMENT , PLLC

Doing business as

Jefferson Dental Clinics

Practice address

5334 Ross Ave
Ste. 800
Dallas, TX 75206-7453

Phone

(214) 841-4200

Fax

(214) 823-8651

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Tiffanie N Smith

Title

Credentialing Manager

Phone

(469) 658-8979

Specialties & licenses 2

Addresses

Other names 1

• Jefferson Dental Clinics Doing business as

Tax ID family

JDC Healthcare PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JDC Healthcare, PLLC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1003017096
  NPD tax ID

Locations

Practitioners 1

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

• Rabia Ashfaq Kadwani, DDS

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1003579145
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1053775890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY",
            "address_2": "SUITE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347781",
            "telephone_number": "972-444-8888",
            "fax_number": "972-243-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 ROSS AVE",
            "address_2": "STE. 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067453",
            "telephone_number": "214-841-4200",
            "fax_number": "214-823-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDC HEALTHCARE MANAGEMENT , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-658-8979"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "31642",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Dental Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JC Yabraian, M.D., P.a.
• Jchhs, Inc
• JCS Lake Highlands Operations LP (Villages of Lake Highlands Assisted Living)
• JD Business Solutions, LLC
• JD Surgery Center Inc
• JDC Healthcare Oklahoma PLLC
• JDC Healthcare, PLLC
• Sanghyun Je, DMD
• Skenda Jean-Charles
• Jean S Jean-Pierre, MD

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.