Organization Active NPI

Children's & Pediatric Dentistry of Wellington, Inc.

  • Pediatric Dentistry
  • Wellington, FL
National Provider Identifier
1396434379
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S & PEDIATRIC DENTISTRY OF WELLINGTON, INC.
Practice address
12798 Forest Hill Blvd Ste 305
Wellington, FL 33414-4704
Phone
(561) 793-7515
NPI assigned
May 4, 2023
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Dr. Francisco JimenezNPI 1588855738
Title
President/Owner
Phone
(561) 793-7515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

12798 Forest Hill Blvd Ste 305
Wellington, FL 33414-4704

Mailing address

12798 Forest Hill Blvd Ste 305
Wellington, FL 33414-4704

National Provider Directory

National Provider Directory

Locations

12798 Forest Hill Blvd
Ste 305
Wellington, FL 33414
Phone (561) 793-7515

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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1396434379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12798 FOREST HILL BLVD STE 305",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12798 FOREST HILL BLVD STE 305",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144704",
            "telephone_number": "561-793-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S & PEDIATRIC DENTISTRY OF WELLINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-793-7515",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.