Individual provider Active NPI

Justine May Bielza Jimenez, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1497100960
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32693 Issued in TX
Practice address
4605 Wilmington St
Houston, TX 77051-3333
Phone
(832) 395-0054
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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 32693 TX Primary

Addresses

Primary practice location

4605 Wilmington St
Houston, TX 77051-3333

Mailing address

8514 Green Paseo PL
Rosenberg, TX 77469-2347

Other practice location 1

7500 Cambridge St Ste 6310
Houston, TX 77054-2032
Phone (713) 486-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230107000180 TX Practitioner - Dentist 4981074929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Apr 1, 2023 Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Apr 1, 2023 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

7001 Corporate Dr
Ste 120
Houston, TX 77036
Phone (713) 333-7273

13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 333-7273

Organizations & group practices 4

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1497100960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 GREEN PASEO PL",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774692347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 WILMINGTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770513333",
            "telephone_number": "832-395-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Cambridge St Ste 6310",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542032",
            "country_code": "US",
            "telephone_number": "713-486-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JUSTINE MAY",
        "middle_name": "BIELZA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.