Emilio Antonio Jimenez Colon, D.M.D

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN1858538 Issued in MA

Practice address

2 Water St
Haverhill, MA 01830-6229

Phone

(978) 372-1999

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oficina Bioestetica Dental, Corp

  • Prosthodontics
  • Rio Piedras, PR
  • NPI 1942539697
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1386764298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CANAL ST UNIT 8303",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401471",
            "telephone_number": "787-644-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306229",
            "telephone_number": "978-372-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ COLON",
        "first_name": "EMILIO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "059352",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MO",
            "license": "2017030527",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "1860",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1858538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Jean, MA
• Allison Nicole Jenkins, LMHC
• Sarah J Jensen, NP
• Yoon Hwan Edward Jeong, DMD
• Ashley Jewell, THERAPEUTIC MENTOR
• Gregory K. Johnson, M.D.
• Joseph Johnson
• Angela Jolliffe
• Pamela L Jones, M.D.
• Ronald Charles Jordan Jr.

• Prosthodontics in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.