Xiomara Restrepo-Jaramillo, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

055938-1 Issued in NY

Practice address

5820 Big Tree Rd
Lakeville, NY 14480-9737

Phone

(585) 346-7519

NPI assigned

Apr 6, 2009

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Female

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1952543092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 BIG TREE RD",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809737",
            "telephone_number": "585-346-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 BIG TREE RD",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809737",
            "telephone_number": "585-346-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTREPO-JARAMILLO",
        "first_name": "XIOMARA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "055938-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew V Mattle, PT
• Dawn M Mattle, PT
• Nancy J Mulvaney, RPH
• Katelyn Elise Murphy, AUD
• Physical Therapy Professionals, PC
• Richard S Aguirre (Lakeville Family Medicine)
• Shay Markovitch Dentistry, PLLC (Family Care of Livonia)
• Peter Shea, L.AC.
• John Anthony Siciliano
• Daniel Edward Simmons, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakeville, NY
• Providers in Lakeville, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.