Organization Active NPI

Jimenez Family Dental

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1447494166
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JIMENEZ FAMILY DENTAL
Practice address
664 Academy St
New York, NY 10034-4229
Phone
(212) 567-2431
Fax
(212) 567-5626
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dr. Nancy Jimenez, DDS
Title
Dentist
Phone
(212) 567-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X NY Primary

Addresses

Primary practice location

664 Academy St
New York, NY 10034-4229

Mailing address

664 Academy St
New York, NY 10034-4229
Phone (212) 567-2431

Other identifiers 1

IdentifierTypeStateIssuer
02677374MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1447494166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 ACADEMY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344229",
            "telephone_number": "212-567-2431",
            "fax_number": "212-567-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 ACADEMY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344229",
            "telephone_number": "212-567-2431",
            "fax_number": "212-567-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMENEZ FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-567-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02677374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 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.