JP Cosmetic Dentistry, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

16098 Issued in FL

Legal business name

JP COSMETIC DENTISTRY, INC.

Practice address

1201 Winter Garden Vineland Rd Ste 10
Winter Garden, FL 34787-4380

Phone

(407) 295-0444

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Nicouly Pierre Jean-Philippe, DDS

Title

PA/Owner

Phone

(407) 295-0444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1275873580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WINTER GARDEN VINELAND RD STE 10",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874380",
            "telephone_number": "407-295-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WINTER GARDEN VINELAND RD STE 10",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874380",
            "telephone_number": "407-295-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP COSMETIC DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "JEAN-PHILIPPE",
        "authorized_official_first_name": "NICOULY",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "PA/OWNER",
        "authorized_official_telephone_number": "407-295-0444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "16098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006593500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Renee Jones
• Trinity Jones
• Jennie Susan Joseph, LM, CPM
• Kathryn Joseph
• Nisha Joshi
• Carl Edward Juliao, DMD
• Steven O Jusino
• Jesse Kader
• Tara Maureen Kalbach, MA,CCC-SLP
• Elizabeth Megan Kappenman, LMHC, NCC

• Dentist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.