Individual provider Active NPI

Bien Jimenez Decena Jr., PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1649526989
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Room 97 Eeob
White House Medical Unit
Washington, DC 20502
Phone
(202) 757-2476
Fax
(202) 757-2472
NPI assigned
Jul 24, 2012
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

Room 97 Eeob
White House Medical Unit
Washington, DC 20502

Mailing address

Room 97 Eeob
White House Medical Unit
Washington, DC 20502
Phone (202) 757-2476

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
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
My Catholic Doctor, P.L.L.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1649526989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROOM 97 EEOB",
            "address_2": "WHITE HOUSE MEDICAL UNIT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20502",
            "telephone_number": "202-757-2476",
            "fax_number": "202-757-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROOM 97 EEOB",
            "address_2": "WHITE HOUSE MEDICAL UNIT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20502",
            "telephone_number": "202-757-2476",
            "fax_number": "202-757-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECENA",
        "first_name": "BIEN",
        "middle_name": "JIMENEZ",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.