Organization Active NPI

Ernesto Ulloa-Jimenez DMD PLLC

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1962272443
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERNESTO ULLOA-JIMENEZ DMD PLLC
Doing business as
Crafting Smiles
Practice address
2711 N Duke St Ste C
Durham, NC 27704-2666
Phone
(919) 220-4200
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Ernesto Ulloa, DMD
Title
Owner-General Dentist
Phone
(813) 297-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2711 N Duke St Ste C
Durham, NC 27704-2666

Mailing address

2711 N Duke St Ste C
Durham, NC 27704-2666
Phone (919) 220-4200

Other names 1

  • Crafting Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

2711 N Duke St
Ste C
Durham, NC 27704
Phone (919) 220-4200

Practitioners & affiliated clinicians

Practitioners 2

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": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1962272443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N DUKE ST STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042666",
            "telephone_number": "919-220-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N DUKE ST STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042666",
            "telephone_number": "919-220-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO ULLOA-JIMENEZ DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "ULLOA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER-GENERAL DENTIST",
        "authorized_official_telephone_number": "813-297-7070",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crafting Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.