Jessica C. Nieva DDS P.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2002016551 Issued in MO

Legal business name

JESSICA C. NIEVA DDS P.C.

Practice address

552 Old Smizer Mill Rd
Fenton, MO 63026-3538

Phone

(636) 326-7633

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jessica C. Nieva, DDS

Title

Dentist/President

Phone

(636) 326-7633

Specialties & licenses 1

Addresses

Other names 1

• Fenton Family Dentistry Other name

Locations

Practitioners 1

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

• Janna C Routh, DMD

  • Dentist
  • Enterprise, AL
  • NPI 1629563119
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1831349232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 OLD SMIZER MILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263538",
            "telephone_number": "636-326-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 OLD SMIZER MILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263538",
            "telephone_number": "636-326-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA C. NIEVA DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "NIEVA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "636-326-7633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "2002016551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fenton Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Jaderko, PHARM.D
• Sue E Jagler, MD
• Susan James, FNP
• Zaynab Jamil
• Jay F. Hauser, DDS, PC
• JM Trans Express LLC
• Melissa D Johnson, DO
• Elizabeth Erin Jones, FNP
• Lauren Elizabeth Jones, DO
• Louis Damani Jones, LCSW

• Preferred Provider Organization in Fenton, MO
• Providers in Fenton, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.