Jenny Cortes, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24860 Issued in FL

Practice address

1005 E Commercial Blvd
Oakland Park, FL 33334-3956

Phone

(786) 257-7189

NPI assigned

May 30, 2020

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Networks

• Freedom Health HMO Network

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.

• Coral Springs Modern Dentistry, PA

  • Dentist
  • Coral Springs, FL
  • NPI 1396267100
  NPD (past)
• Oakland Park Modern Dentistry PA

  dba Oakland Park Modern Dentistry

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1538528831
  NPD (past)

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1508480187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343956",
            "telephone_number": "954-261-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343956",
            "telephone_number": "786-257-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5810 Wiles Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330672158",
            "country_code": "US",
            "telephone_number": "954-314-8343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTES",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coopersmith & Scott MD PA
• Edward M Coopersmith, M.D.
• Coral Ridge Outpatient Center LLC
• Corpus Care Therapy Corp
• Vincent Joseph Corso Jr., LCSW
• Jamie Ellis Corwin, APRN
• Ana Cotes, APRN
• Lisa D Coventry
• Edward Covington Jr.
• Cecilia Coyette, RBT

• General Practice Dentistry in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.