NPIMap

Organization Active NPI

Jimani Blackwell DDS LLC

Doing business as enlightenDENTAL

  • Dental Clinic/Center
  • New Orleans, LA
National Provider Identifier
1760082952
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JIMANI BLACKWELL DDS LLC
Doing business as
enlightenDENTAL
Practice address
8015 Maple St
New Orleans, LA 70118-2738
Phone
(504) 507-0128
NPI assigned
Oct 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Jimani Blackwell, DDSNPI 1356570162
Title
Owner/Dentist
Phone
(504) 507-0128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8015 Maple St
New Orleans, LA 70118-2738

Mailing address

8015 Maple St
New Orleans, LA 70118-2738
Phone (504) 507-0128

Other names 1

  • enlightenDENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

8015 Maple St
New Orleans, LA 70118
Phone (504) 507-0128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1760082952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 MAPLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701182738",
            "telephone_number": "504-507-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 MAPLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701182738",
            "telephone_number": "504-507-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMANI BLACKWELL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "JIMANI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "504-507-0128",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "enlightenDENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.