Jennifer Racquel Jupio, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21917 Issued in TX

Practice address

7758 W Tidwell Rd
Ste. #126
Houston, TX 77040-5741

Phone

(713) 690-2555

Fax

(713) 690-2777

NPI assigned

Dec 15, 2006

Last updated

Jun 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nova Dental Care, PC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1487849733
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1245392232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 W TIDWELL RD",
            "address_2": "STE. #126",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405741",
            "telephone_number": "713-690-2555",
            "fax_number": "713-690-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 W TIDWELL RD",
            "address_2": "STE. #126",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405741",
            "telephone_number": "713-690-2555",
            "fax_number": "713-690-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUPIO",
        "first_name": "JENNIFER",
        "middle_name": "RACQUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167823707",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1678237-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juniper Place of Restoration (N/a)
• George Glenn Junkin, D.C.
• Juno Medical Clinic
• Juno Research, LLC
• Eric Hahn Juntunen, D.C.
• Leenette Marie Jupiter
• Maylin Jurado Carballo
• Jurado Family Clinic, LLC
• Karleigh Jurek, MS, RD, LD
• Anne Marie Jurica, RBT

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.