Esthetic & Implant Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN9243 Issued in FL

Legal business name

ESTHETIC & IMPLANT DENTISTRY

Practice address

8136 Okeechobee Blvd.
Suite B
West Palm Beach, FL 33411

Phone

(561) 683-4488

Fax

(561) 840-6491

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Jackie C. JohnsNPI 1447473285

Title

Dentist

Phone

(561) 683-4488

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jackie C Johns, DMD

  • General Practice Dentistry
  • West Palm Beach, FL
  • NPI 1447473285
  NPD (past) Authorized official

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1194992453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OKEECHOBEE BLVD.",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-683-4488",
            "fax_number": "561-840-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 OKEECHOBEE BLVD.",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-683-4488",
            "fax_number": "561-840-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHETIC & IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-683-4488"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN9243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073571000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Labrea Estel
• Wendy Estenoz Macias
• Jillian Estes, OTD, OTR/L
• Lazara Heidy Estevez Valera
• Esther Morrison P.a.
• Guerlyne Ophin Estime, ARNP
• John Estime
• Kathleen Jude Estime
• Shamar Estime
• Widjina Estime

• Dental Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.