Organization Active NPI

Jennifer E Sims DDS Inc

  • Dentist
  • Bonita, CA
National Provider Identifier
1861684680
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44259 Issued in CA
Legal business name
JENNIFER E SIMS DDS INC
Practice address
5080 Bonita Road
Suite N
Bonita, CA 91902
Phone
(619) 479-1214
Fax
(619) 479-2792
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Jennifer E Sims, DDSNPI 1689022980
Title
Ceo Dentist
Phone
(619) 479-1214

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44259 CA Primary

Addresses

Primary practice location

5080 Bonita Road
Suite N
Bonita, CA 91902

Mailing address

5080 Bonita Road
Suite N
Bonita, CA 91902
Phone (619) 479-1214

Other names 1

  • Excellent Smile By Dr Jennifer E Sims & Associates Inc Doing business as

National Provider Directory

National Provider Directory

Locations

5080 Bonita Rd
Ste N
Bonita, CA 91902
Phone (619) 479-1214

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": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1861684680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 BONITA ROAD",
            "address_2": "SUITE N",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "91902",
            "telephone_number": "619-479-1214",
            "fax_number": "619-479-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 BONITA ROAD",
            "address_2": "SUITE N",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "91902",
            "telephone_number": "619-479-1214",
            "fax_number": "619-479-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER E SIMS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO DENTIST",
        "authorized_official_telephone_number": "619-479-1214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellent Smile By Dr Jennifer E Sims & Associates Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.