Active NPI
Jenny V. Nunez, DDS
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1144376542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN15755
- Practice address
- 950 W Peachtree St NW Unit 1013
Atlanta, GA 30309-3858 - Phone
- (912) 805-9267
- NPI assigned
- Jan 26, 2007
- Last updated
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15755 | GA | |
| General Practice Dentistry | 1223G0001X | DS9121 | TN | |
| General Practice Dentistry | 1223G0001X | DN13321 | FL | |
| General Practice Dentistry | 1223G0001X | DN15755 | GA | Primary |
Addresses
Primary practice location
950 W Peachtree St NW Unit 1013
Atlanta, GA 30309-3858
Mailing address
7760 Spalding Dr
Norcross, GA 30092-4207
Phone (770) 270-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN15755 | GA | MD | Dentist |
| DN13321 | FL | MD | General Practice Dentistry |
| DS9121 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1144376542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 SPALDING DR",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300924207",
"telephone_number": "770-270-5700",
"fax_number": "770-209-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W PEACHTREE ST NW UNIT 1013",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093858",
"telephone_number": "912-805-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "JENNY",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN15755",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS9121",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN13321",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN15755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.