Cobblestone Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN16438 Issued in FL

Legal business name

COBBLESTONE FAMILY DENTAL

Doing business as

Jimena Fernandez

Practice address

3833 Tree Top Dr
Weston, FL 33332-2137

Phone

(954) 632-0171

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jimena Fernandez, DMD, PA

Title

President

Phone

(954) 632-0171

Specialties & licenses 1

Addresses

Other names 1

• Jimena Fernandez Doing business as

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1386764660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 TREE TOP DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322137",
            "telephone_number": "954-632-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 TREE TOP DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322137",
            "telephone_number": "954-632-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLESTONE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JIMENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-632-0171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN16438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimena Fernandez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cleveland Clinic Weston Hospital Nonprofit Corporation
• Cma Healthcare, Inc.
• Cma Healthcare, Inc.
• Cma Home Health Care LLC
• Christie Coadwoy Freeze
• Gilbert Cohen, M.D.
• Ilene Strauss Cohen, MFT
• Jared S Cohen, M.D.
• Karen Cohen, LCSW-R
• Murphy Paige Cohen, PHYSICIAN ASSISTANT

• Dental Clinic/Center in Weston, FL
• Providers in Weston, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.