Individual provider Active NPI

Jesica Iniguez Jauregui

  • Dental Hygienist
  • Grand Island, NE
National Provider Identifier
1194557322
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
3312 Issued in NE
Practice address
2116 W Faidley Ave Ste 2100
Grand Island, NE 68803-4602
Phone
(308) 382-4297
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 3312 NE Primary

Addresses

Primary practice location

2116 W Faidley Ave Ste 2100
Grand Island, NE 68803-4602

Mailing address

2116 W Faidley Ave Ste 2100
Grand Island, NE 68803-4602
Phone (308) 382-4297

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

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1194557322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 W FAIDLEY AVE STE 2100",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034602",
            "telephone_number": "308-382-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 W FAIDLEY AVE STE 2100",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034602",
            "telephone_number": "308-382-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INIGUEZ JAUREGUI",
        "first_name": "JESICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NE",
            "license": "3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.