Individual provider Active NPI

Hanny Sabrina Gomez de Jesus, DMD

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1225866742
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10000370 Issued in MA
Practice address
175 Centre St Apt 1204
Quincy, MA 02169-8600
Phone
(516) 884-2807
NPI assigned
Jul 25, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10000370 MA Primary

Addresses

Primary practice location

175 Centre St Apt 1204
Quincy, MA 02169-8600

Mailing address

175 Centre St Apt 1204
Quincy, MA 02169-8600
Phone (516) 884-2807

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN10000370MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1225866742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CENTRE ST APT 1204",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698600",
            "telephone_number": "516-884-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CENTRE ST APT 1204",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698600",
            "telephone_number": "516-884-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ DE JESUS",
        "first_name": "HANNY",
        "middle_name": "SABRINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.