Jewell Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17336 Issued in MI

Legal business name

JEWELL FAMILY DENTAL

Practice address

19135 Grand River Ave
Detroit, MI 48223-1704

Phone

(313) 535-7770

NPI assigned

May 23, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reginald Bernard Jewell, DDSNPI 1053527812

Title

President

Phone

(313) 535-7770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reginald Bernard Jewell, DDS

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1053527812
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1932319746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19135 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231704",
            "telephone_number": "313-535-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19135 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231704",
            "telephone_number": "313-535-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-535-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesscaring Home Care & Support Services
• Jet Dental of Michigan PLLC
• Achint Jethi, MD
• Arthur Jett, PA
• Raeshawndra Cheirie Jett, LLMSW
• Paula Ann Marie Jewell, DDS
• Reginald Bernard Jewell, DDS
• Jewels Home Health Care Service, LLC
• Jordan Elizabeth Jewett, CRNA
• Martyna Jezak, NURSE PRACTITIONER

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.