Active NPI
Justine May Bielza Jimenez, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1497100960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32693
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asian American Health Coalition of the Greater Houston Area | Current | Accepting new patients | |
| Asian American Health Coalition of the Greater Houston Area | Current | Accepting new patients | |
| Asian American Health Coalition of the Greater Houston Area | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1699966754
-
- Pharmacy
- Houston, TX
- NPI 1174236632
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1972239341
-
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1548400229
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.