Ethics Dental Ipa, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045307-1 Issued in NY

Legal business name

ETHICS DENTAL IPA, INC

Practice address

600 W 146TH St
GF
New York, NY 10031-4301

Phone

(212) 368-9532

Fax

(212) 368-2245

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Libia R Jimenez, D.D.SNPI 1578636668

Title

President

Phone

(212) 668-9532

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Libia Rebeca Jimenez, DDS

  • Pediatric Dentistry
  • New York, NY
  • NPI 1578636668
  NPD (past) Authorized official

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1144517525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 146TH ST",
            "address_2": "GF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314301",
            "telephone_number": "212-368-9532",
            "fax_number": "212-368-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 146TH ST",
            "address_2": "GF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314301",
            "telephone_number": "212-368-9532",
            "fax_number": "212-368-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHICS DENTAL IPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "LIBIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-668-9532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045307-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan a Graham PHD Psychologist PLLC
• Alexis Etheridge
• Alexis Etheridge, MD
• Michael A Etheridge, LMSW
• Ethical Drug Inc
• Ethnik Nutrition Practice LLC
• Oghenefejiro M Etibo
• Amandine Valerie Etienne
• Cindy Etienne, WHNP
• Darrio Etienne, RN

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.