Fernando Jose Jimenez, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN 19685 Issued in FL

Practice address

5139 Little Rd
New Port Richey, FL 34655-1212

Phone

(813) 336-8478

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• L.N. Oral and Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Radiology Dentistry
  • Riverview, FL
  • NPI 1023823705
  NPD Authorized official
• Fernando Jimenez-Torres PSC

  • Oral and Maxillofacial Surgery (Dentist)
  • Carolina, PR
  • NPI 1568785673
  NPD (past) Authorized official
• Coast Dental P.a.

  dba Coast Dental-Plant City

  • Dentist
  • Plant City, FL
  • NPI 1952977290
  NPD (past)
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)
• J Restituyo-Rosario, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Carolina, PR
  • NPI 1851849210
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1689873523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143-3 CALLE 401",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854022",
            "telephone_number": "787-200-5542",
            "fax_number": "787-200-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551212",
            "telephone_number": "813-336-8478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11278 Sullivan St",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335782140",
            "country_code": "US",
            "telephone_number": "813-436-9813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "FERNANDO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2769",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 19685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollie R Jerman, ARNP
• Jessica Anne Deeb, LCSW, LLC
• Jessica Harris Interpreting Services, Inc.
• Jenna Jessings, RBT
• Maikel Duniesky Jimenez Cancio
• JNF Mso LLC
• Maria Lorena Jocson, RPT
• Miranda Johler, PHARMD
• John Bryant Fuller MD PA
• John Granone PA

• Oral and Maxillofacial Surgery (Dentist) in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.