Active NPI
Zoheb Jiwani, DMD
- General Practice Dentistry
- Murfreesboro, TN
National Provider Identifier
1669013355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12349
- Practice address
- 3415 S Church St # CD
Murfreesboro, TN 37127-1537 - Phone
- (205) 582-8570
- NPI assigned
- Oct 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6714 | AL | |
| General Practice Dentistry | 1223G0001X | 12349 | TN | Primary |
Addresses
Primary practice location
3415 S Church St # CD
Murfreesboro, TN 37127-1537
Mailing address
1113 Rushing Parc Dr
Hoover, AL 35244-6751
Phone (205) 401-5767
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 |
|---|---|---|---|
| 6714 | AL | MD | General Practice Dentistry |
| 12349 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1669013355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 RUSHING PARC DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352446751",
"telephone_number": "205-401-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 S CHURCH ST # CD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371271537",
"telephone_number": "205-582-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIWANI",
"first_name": "ZOHEB",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-03",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "6714",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "12349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.