NPIMap

Organization Active NPI

Jessica L Yim DMD

  • Dentist
  • Newark, OH
National Provider Identifier
1114671674
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JESSICA L YIM DMD
Practice address
1010 N 21St St
Newark, OH 43055-2984
Phone
(740) 366-5353
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Jessica Yim, DMDNPI 1366812950
Title
Dentist
Phone
(614) 843-0915

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1010 N 21St St
Newark, OH 43055-2984

Mailing address

1010 N 21St St
Newark, OH 43055-2984
Phone (740) 366-5353

National Provider Directory

National Provider Directory

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": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1114671674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552984",
            "telephone_number": "740-366-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552984",
            "telephone_number": "740-366-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA L YIM DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "614-843-0915",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.