Individual provider Active NPI

Jasmine Mabjeesh, DDS

  • Dentist
  • Palmetto Bay, FL
National Provider Identifier
1841643012
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22041 Issued in FL
Practice address
9275 SW 152ND St Ste 206
Palmetto Bay, FL 33157-1774
Phone
(305) 233-3922
Fax
(305) 233-2130
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22041 FL Primary

Addresses

Primary practice location

9275 SW 152ND St Ste 206
Palmetto Bay, FL 33157-1774

Mailing address

9275 SW 152ND St Ste 206
Palmetto Bay, FL 33157-1774
Phone (305) 233-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20161012000277 FL Order and Referring Only - DentistPractitioner - Dentist 0446548184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendental Studio PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1841643012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST STE 206",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571774",
            "telephone_number": "305-233-3922",
            "fax_number": "321-722-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST STE 206",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571774",
            "telephone_number": "305-233-3922",
            "fax_number": "305-233-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABJEESH",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.