Individual provider Active NPI

Martha P Jaimes, DMD

  • Dentist
  • Downers Grove, IL
National Provider Identifier
1285163519
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019031117 Issued in IL
Practice address
432 75TH St
Downers Grove, IL 60516-4454
Phone
(630) 971-0751
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019031117 IL Primary

Addresses

Primary practice location

432 75TH St
Downers Grove, IL 60516-4454

Mailing address

432 75TH St
Downers Grove, IL 60516-4454
Phone (630) 248-5886

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
019031117ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Martha P Jaimes Dentistry Professional Corp. CurrentSince Dec 13, 2022 Accepting new patients
Martha P Jaimes Dentistry Professional Corp. CurrentSince Apr 27, 2025 Accepting new patients

Locations

432 75th St
Downers Grove, IL 60516
Phone (630) 971-0751

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1285163519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 75TH ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605164454",
            "telephone_number": "630-248-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 75TH ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605164454",
            "telephone_number": "630-971-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIMES",
        "first_name": "MARTHA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.