Jessica Chima, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

10346 Issued in NC

Practice address

1625 N Main St Ste 201
Fuquay Varina, NC 27526-5399

Phone

(919) 557-7799

NPI assigned

May 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Cameron & Associates of Fuquay, PLLC

  • General Practice Dentistry
  • Fuquay Varina, NC
  • NPI 1790055044

  General Practice

  NPD (past)

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1609223544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CHIPLEY DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196990",
            "telephone_number": "309-825-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N MAIN ST STE 201",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265399",
            "telephone_number": "919-557-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMA",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10346",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Chaparro
• Dedra Nichele Chavis
• Nancy Chen, PSYD
• Carlisle Chenault, RPH
• Gregory Cheney, LMFT
• Jeevan Kumar Chintakindi, PHYSICAL THERAPIST
• Sarah Michelle Chittick Simmons
• Sunny Song Chung, DDS
• Darren A Ciccolini, PA-C
• Breah Claar, CCC-SLP

• Dentist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.