Michael Jimenez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33053 Issued in TX

Practice address

5540 Sunset Blvd
Lexington, SC 29072-9262

Phone

(803) 358-8250

NPI assigned

Jun 9, 2017

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Jimenez DDS LLC

  • General Practice Dentistry
  • Lexington, SC
  • NPI 1831741396
  NPD Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1508395724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 LITCHFIELD LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722358",
            "telephone_number": "706-231-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729262",
            "telephone_number": "803-358-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 Litchfield Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722358",
            "country_code": "US",
            "telephone_number": "803-358-8250 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 NW Loop 410 Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782165304",
            "country_code": "US",
            "telephone_number": "210-610-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Kathleen Jernigan, APRN, FNP-C
• John Benjamin Jett, DMD
• Kevin Benjamin Jett, DMD
• Lightsey Laffitte Jett
• Jill Smith Therapy (Jill Smith and Associates)
• Vanessa Jimenez, PTA
• Anita Marie Johnson, M.ED.
• Anitra Janay Johnson
• Brittany Johnson
• Charles Johnson

• General Practice Dentistry in Lexington, SC
• Providers in Lexington, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.