Organization Active NPI

Juan C. Jaramillo D.D.S. P.C.

Doing business as Columbus Circle Dental

  • Dentist
  • New York, NY
National Provider Identifier
1366983660
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047921 Issued in NY
Legal business name
JUAN C. JARAMILLO D.D.S. P.C.
Doing business as
Columbus Circle Dental
Practice address
30 W 60TH St
Suite # 1GH
New York, NY 10023-7902
Phone
(212) 246-3200
Fax
(212) 246-3267
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Dr. Juan C Jaramillo, D.D.S.
Title
Ceo
Phone
(212) 246-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047921 NY Primary

Addresses

Primary practice location

30 W 60TH St
Suite # 1GH
New York, NY 10023-7902

Mailing address

30 W 60TH St
Suite # 1GH
New York, NY 10023-7902
Phone (212) 246-3200

Other names 1

  • Columbus Circle Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia Circle Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1366983660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 60TH ST",
            "address_2": "SUITE # 1GH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237902",
            "telephone_number": "212-246-3200",
            "fax_number": "212-246-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 60TH ST",
            "address_2": "SUITE # 1GH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237902",
            "telephone_number": "212-246-3200",
            "fax_number": "212-246-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN C. JARAMILLO D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-246-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Circle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.