Jeannette Marie Pope-Ozimba, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN11610 Issued in GA

Practice address

1505 W 3Rd Ave
Ste a
Albany, GA 31707-3647

Phone

(229) 465-6161

Fax

(229) 435-6191

NPI assigned

Jan 11, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1922338128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W 3RD AVE",
            "address_2": "STE A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317083647",
            "telephone_number": "229-435-6161",
            "fax_number": "229-465-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W 3RD AVE",
            "address_2": "STE A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073647",
            "telephone_number": "229-465-6161",
            "fax_number": "229-435-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE-OZIMBA",
        "first_name": "JEANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN11610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000796617C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pines Personal Care Home, Inc.
• Brittany Pines, FNP-C
• Pinkie's Private Home Care LLC.
• Haley Ann Poitevint, OT ASSISTANT
• Daysha Rachele Polite
• Charlene Carletha Porter, RN
• Linda S Porter, LPC
• Taylor Coy Porter, MD
• Abigail Morris Posey, OD
• Angela Schroeder Potter, M.ED., CCC-SLP

• Pediatric Dentistry in Albany, GA
• Providers in Albany, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.