Jimani Hakika Blackwell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6082 Issued in LA

Practice address

8015 Maple Street, New Orleans, la, USA
New Orleans, LA 70118

Phone

(504) 507-0128

NPI assigned

Jul 14, 2009

Last updated

Jun 16, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jimani Blackwell DDS LLC

  dba enlightenDENTAL

  • Dental Clinic/Center
  • New Orleans, LA
  • NPI 1760082952
  NPD Authorized official

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1356570162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 EARHART BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251743",
            "telephone_number": "504-483-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 MAPLE STREET, NEW ORLEANS, LA, USA",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-507-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "JIMANI",
        "middle_name": "HAKIKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6082",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "STUDENT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Blackburn, PHARMD
• Chemwapuwa Blackman, MA
• Chiquita Blackmore
• Chadsidy Blackstone
• Madison Babers Blackstone
• Margo G Blackwell, CRNA
• Patricia Blackwell, PH.D.
• Nigel Blackwood
• Blair Transporation
• Nicole Marie Blair, M.A. COUNSELING

• Dentist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.