New Image Dentistry on Minton

Primary specialty

DentistTaxonomy code 122300000X

License

DN13401 Issued in FL

Legal business name

NEW IMAGE DENTISTRY ON MINTON

Practice address

5132 Minton Rd NW Ste 1
Palm Bay, FL 32907-1110

Phone

(321) 725-9595

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammed Mujeeb

Title

Owner

Phone

(321) 725-9595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1063826170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 MINTON RD NW STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071110",
            "telephone_number": "321-725-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 MINTON RD NW STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071110",
            "telephone_number": "321-725-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE DENTISTRY ON MINTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "MUJEEB",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-725-9595"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nemours Children's Health, Palm Bay, Primary Care
• New Beginning Board and Care Home
• New Beginning Care Home
• New Horizonrehab (Sena G Mortey)
• New Image Dentistry of Palm Bay Road, Inc
• New Image Dentisty of Palm Bay
• New Path Behavior Analysis, LLC
• New Way Counseling Services Inc.
• Nextgen Pathology
• Jessica Ann Nguyen, DMD

• Dentist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.