Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700318060 Individual Practitioner Male Practitioner

Dr. Jake Ryan Mimms , DMD

Dentist - General Practice • Madison, AL

Professional Overview & Biography Verified Profile Summary

Dr. Jake Mimms, DMD is a registered healthcare professional specializing in Dentist - General Practice in Madison, AL. Practice services are available at 8263 MADISON BLVD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8263 Madison Blvd Ste A

Madison, AL 357582051

Telephone 2567747228
Associated Practice Facility / Clinic
🏢 Madison Dental Center L.l.c. Facility NPI 1306931878

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madison, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
34 Specialists

Practicing in Madison, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL 6432

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

875 Union Ave

Memphis, TN 381033513

Phone: 9014482242

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Amanda Heusinger , DMD

Dentist - General Practice

NPI 1801110796

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 17, 2019

Registered at 8263 MADISON BLVD STE A, MADISON, AL 357582051 (Tel: 2567747228)

📍
Updated Business Mailing Address July 17, 2019

Registered at 8263 MADISON BLVD STE A, MADISON, AL 357582051 (Tel: 2567747228)

👤
Provider Name / Credentials Updated July 17, 2019

Recorded as JAKE MIMMS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2019

Dentist (License #6432 in AL)

NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2017

Registered at 875 UNION AVE, MEMPHIS, TN 381033513 (Tel: 9014482242)

📍
Updated Business Mailing Address March 28, 2017

Registered at 875 UNION AVE, MEMPHIS, TN 381033513 (Tel: 9014482242)

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as JAKE MIMMS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jake Mimms. Be the first to share your experience!

Sign in to leave a review for Dr. Jake Mimms

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700318060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2017
Last Update: July 17, 2019
Sole Proprietor: No

Mailing Address

8263 Madison Blvd Ste A

Madison, AL 357582051

Phone: 2567747228

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.