Jennifer Ruth Joobbani, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413818 Issued in VA

Practice address

15441 Peach Leaf Dr
North Potomac, MD 20878-2344

Phone

(919) 619-3703

NPI assigned

Jun 4, 2010

Last updated

Jan 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1831419571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HIGHLAND RIDGE AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785837",
            "telephone_number": "919-619-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15441 PEACH LEAF DR",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782344",
            "telephone_number": "919-619-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOOBBANI",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minette Ijikarah
• Ikon Health, LLC (Ikon Health)
• Ikon Health, LLC (Ikon Health)
• Chitra Jayachandran, LCSW-C
• Rachel Jones
• Irina Katz
• Natalie L. Kekuh, FNP-BC
• Kentland Orthodontic Inc
• David Lawrence Kettl, MD
• Jennifer Kunzelman, CRNA

• General Practice Dentistry in North Potomac, MD
• Providers in North Potomac, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.