Jonathan Buenjemia, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

58437 Issued in CA

Practice address

9193 Sierra Ave
Suite B
Fontana, CA 92335-4776

Phone

(909) 355-0485

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• J Buenjemia Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Mesa, AZ
  • NPI 1225840192
  NPD Authorized official
• Cute Smiles 4 Kids

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1538314992
  NPD (past)
• Sdcaz LLC

  • Pediatric Dentistry
  • Phoenix, AZ
  • NPI 1659175347
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1942432273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11684 LARGO CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543973",
            "telephone_number": "909-224-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9193 SIERRA AVE",
            "address_2": "SUITE B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354776",
            "telephone_number": "909-355-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENJEMIA",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank J Brummitt, CRNA
• Desmond Bryant, RRT
• Luther J. Bryant, MD
• Sharilee Ann Bryant, M.D.
• Mary E Budrunas, PA
• Khristine Marie Bueno, PA-C
• Justina Rose Buenrostro, BRITH DOULA
• Michael Bueti
• Barry R. Buhler, MD
• Christine Bui, D.O

• All providers in Fontana, CA
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.