Active NPI 1083344162 Individual Practitioner Female Practitioner

Keriann Jimenez

Dentist - General Practice • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Keriann Jimenez is a registered healthcare professional specializing in Dentist - General Practice in Richmond, VA. Practice services are available at 520 N 12TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 N 12th St

Richmond, VA 232985064

Telephone 7036087893

Associated Practice Facility / Clinic

🏢 Dentistry Vcu Facility NPI 1790877504

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Richmond, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

259 Specialists

Practicing in Richmond, VA (3535 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

CMS Verified: 2024-07-23

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401418936

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License GA DN122992

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Shahrzad Orenduff , DDS

Dentist - General Practice

NPI 1003229733

Doctor of Dental Surgery

Dr. Jessica Gill , DDS

Dentist

NPI 1003553579

Doctor of Dental Surgery

Dr. Dean Deluke , DDS

Oral & Maxillofacial Surgery

NPI 1023191038

Doctor of Dental Surgery

Samuel Tack

Dentist - Oral and Maxillofacial Surgery

NPI 1033658406

Brandon Khor

Student in an Organized Health Care Education/Training Program

NPI 1053053637

Dr. Ali Mojarad , DDS

Dentist

NPI 1063253995

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location July 23, 2024

Registered at 520 N 12TH ST, RICHMOND, VA 232985064 (Tel: 7036087893)

📍

Updated Business Mailing Address July 23, 2024

Registered at 5609 QUALLA FARMS CT, CHESTERFIELD, VA 238324059

📍

Updated Practice Location July 18, 2023

Registered at 4280 LAVISTA RD STE C117, TUCKER, GA 300845315 (Tel: 7036087893)

📍

Updated Business Mailing Address July 18, 2023

Registered at 3825 COURSON ST, MARIETTA, GA 300668528

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2023

Dentist (License #DN122992 in GA)

✅

NPI Profile Active June 13, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2022

Registered at 3866 OVERTON MANOR LN, VESTAVIA, AL 352435313 (Tel: 7036087893)

📍

Updated Business Mailing Address June 13, 2022

Registered at 3866 OVERTON MANOR LN, VESTAVIA, AL 352435313

👤

Provider Name / Credentials Updated June 13, 2022

Recorded as KERIANN JIMENEZ

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Specialist/Technologist

🟢

Initial NPI Registration & Enumeration June 13, 2022

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 Keriann Jimenez. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1083344162

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2022

Last Update: July 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5609 Qualla Farms Ct

Chesterfield, VA 238324059

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.