Active NPI
Jada Daniel, DDS
- Dentist
- Santa Fe, NM
National Provider Identifier
1376808196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD5569
- Practice address
- 3569 Zafarano Dr
Santa Fe, NM 87507-2618 - Phone
- (505) 986-8000
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9476 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DD5569 | NM | Primary |
Addresses
Primary practice location
3569 Zafarano Dr
Santa Fe, NM 87507-2618
Mailing address
106 Rancho Viejo Blvd
Santa Fe, NM 87508-1553
Phone (919) 923-2721
Other practice location 1
2482 Wonder Dr
Kannapolis, NC 28083-6427
Phone (704) 786-7007
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9476 | NC | MD | Dentist |
| DD5569 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Fe Modern Dentistry and Orthodontics, LLC | Past | Accepting new patients | |
| R Cohen DDS and Associates PA | Past | 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.
-
- General Practice Dentistry
- Santa Fe, NM
- NPI 1689950008
-
- General Practice Dentistry
- Kannapolis, NC
- NPI 1760669709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1376808196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 RANCHO VIEJO BLVD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875081553",
"telephone_number": "919-923-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 ZAFARANO DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875072618",
"telephone_number": "505-986-8000"
}
],
"practiceLocations": [
{
"address_1": "2482 Wonder Dr",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280836427",
"country_code": "US",
"telephone_number": "704-786-7007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIEL",
"first_name": "JADA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9476",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD5569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.