Active NPI
Jahfiqerah Jarrett
- Dental Hygienist
- Austin, TX
National Provider Identifier
1629601406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 23366
- Practice address
- 1000 E 5TH St Unit 110
Austin, TX 78702-3827 - Phone
- (512) 499-0067
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 23366 | TX | Primary |
Addresses
Primary practice location
1000 E 5TH St Unit 110
Austin, TX 78702-3827
Mailing address
1614 E 6TH St Apt 306
Austin, TX 78702-3596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23366 | TX | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Austin Dental | Current | Accepting new patients |
Locations
1000 E 5th St
Unit 110
Austin, TX 78702
Phone (512) 387-1980
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Austin, TX
- NPI 1417485244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1629601406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 E 6TH ST APT 306",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 5TH ST UNIT 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023827",
"telephone_number": "512-499-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "JAHFIQERAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "23366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.