Edward Ylagan Jimenez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19550 Issued in OH

Practice address

7055 Engle Rd
Ste 501
Cleveland, OH 44130-8491

Phone

(440) 243-1600

Fax

(440) 243-1604

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Edward Y.Jimenez D.D.S. Inc

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1730473349
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1831252097",
    "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": {
        "last_name": "JIMENEZ",
        "first_name": "EDWARD",
        "middle_name": "YLAGAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2199848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaoliang Jiao, DO
• Stephanie Ann Jickess, MS, OTR/L
• Vicente Federico Jimenez Llovera, MD
• Maribel Jimenez-Martoral
• Diana Jimenez
• Heather Ashley Jimenez
• Heather Kuhlenschmidt Jimenez, MD
• Joseph Jimenez, PHARMD
• Juan Antonio Jimenez, M.D., PH.D.
• Andrew Jimerson, M.D.

• 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.
• 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.