Active NPI
Jimenez Family Dental
- General Practice Dentistry
- New York, NY
National Provider Identifier
1447494166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02677374 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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
- Jill Thistlethwaite, Psychology, PC
- Jillian E. Kaufman Psychotherapy & Consulting Services, LLC
- Jillien Kahn, Licensed Marriage and Family Therapist PLLC
- William L Jim, OTR/L
- Elizabeth Jo Ann Jimenez Douglas, PA
- Joanna Jimenez Mejia, NP
- Michelle Marie Jimenez Miranda
- Natalie Jimenez Rodriguez
- Rosa Maria Jimenez Rodriguez, MD, PHD
- Xavier Jimenez Samayoa, M.D.
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.