Individual provider Active NPI

Jodi I Halper, DDS

  • General Practice Dentistry
  • Forest Hills, NY
National Provider Identifier
1336458348
Registry record updated Sep 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044768 Issued in NY
Practice address
11055 72ND Rd
Suite L-1
Forest Hills, NY 11375-5472
Phone
(718) 268-1028
Fax
(718) 263-0701
NPI assigned
Sep 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2010

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 044768 NY Primary

Addresses

Primary practice location

11055 72ND Rd
Suite L-1
Forest Hills, NY 11375-5472

Mailing address

11055 72ND Rd
Suite L-1
Forest Hills, NY 11375-5472
Phone (718) 268-1028

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
044768NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Village Dentistry PLLC PastSince Aug 4, 2024 Accepting new patients
Village Dental P.C. General Practice PastSince Feb 16, 2020 Accepting new patients

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": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285459200000",
    "number": "1336458348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 72ND RD",
            "address_2": "SUITE L-1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755472",
            "telephone_number": "718-268-1028",
            "fax_number": "718-263-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 72ND RD",
            "address_2": "SUITE L-1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755472",
            "telephone_number": "718-268-1028",
            "fax_number": "718-263-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPER",
        "first_name": "JODI",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2010-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2010; 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.