Individual provider Active NPI

Jaisima Minhas

  • General Practice Dentistry
  • Ridgewood, NY
National Provider Identifier
1487359550
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
064005 Issued in NY
Practice address
681A Seneca Ave
Ridgewood, NY 11385-9301
Phone
(347) 987-3510
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 064005 NY Primary

Addresses

Primary practice location

681A Seneca Ave
Ridgewood, NY 11385-9301

Mailing address

681A Seneca Ave
Ridgewood, NY 11385-9301
Phone (347) 987-3510

Other practice location 1

3553 82nd St Ste 1E
Jackson Heights, NY 11372-5149
Phone (718) 426-4176

Other practice location 2

3538 Junction Blvd
Corona, NY 11368-1775
Phone (718) 517-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
064005NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ramos Dental PC General Practice Past Accepting new patients
Dental Artes LLC PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1487359550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681A SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113859301",
            "telephone_number": "347-987-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681A SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113859301",
            "telephone_number": "347-987-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3553 82nd St Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113725149",
            "country_code": "US",
            "telephone_number": "718-426-4176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3538 Junction Blvd",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "113681775",
            "country_code": "US",
            "telephone_number": "718-517-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINHAS",
        "first_name": "JAISIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.