Edward Y.Jimenez D.D.S. Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDWARD Y.JIMENEZ D.D.S. INC

Practice address

7055 Engle Rd
Ste 501
Cleveland, OH 44130-8491

Phone

(440) 243-1600

Fax

(440) 243-1604

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Edward Y. Jimenez, D.D.S.NPI 1831252097

Title

Owner

Phone

(440) 243-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Ylagan Jimenez, DDS

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1831252097
  NPD (past) Authorized official

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1730473349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 ENGLE RD",
            "address_2": "STE 501",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441308491",
            "telephone_number": "440-243-1600",
            "fax_number": "440-243-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 ENGLE RD",
            "address_2": "STE 501",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441308491",
            "telephone_number": "440-243-1600",
            "fax_number": "440-243-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD Y.JIMENEZ D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-243-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2199848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shomari Edoja-Troy
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• Edu-at-Tech, LLC (Educational Assistive Technology, LLC)
• Educational Service Center of Cuyahoga County
• Edward J. Floyd DPM
• Tara Ranita Edwards-Coleman, RN
• Karen Edwards-Sancho, QMHA-MA
• Carol Edwards-Steward, LPN/LVN-IV
• Amy Edwards, MD
• Ashila Edwards I, LPN

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

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