DR. JAKE RYAN MIMMS DMD
NPI 1700318060
Dentist - General Practice in Madison, AL

Q: What is Jake Mimms's NPI number?

The NPI number for Jake Mimms is 1700318060. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Jake Mimms's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jake Mimms was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2017

8263 MADISON BLVD STE A, MADISON, AL 35758(256) 774-7228 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2019, Mar 28, 2017 (2 updates tracked since 2017).

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About Dr. Jake Ryan Mimms Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAKE RYAN MIMMS DMD (NPI 1700318060) is an individual general practice provider in Madison, Alabama, licensed in Alabama (6432) and active in the NPI registry since March 2017. He maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1700318060

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAKE RYAN MIMMSCredential: DMD

Location Address8263 MADISON BLVD STE AMadison, AL 35758-2051

Mailing Address8263 Madison Blvd Ste AMadison, AL 35758-2051 · (256) 774-7228

Phone(256) 774-7228

Sole ProprietorNo

Enumeration DateMarch 28, 2017

Last NPPES UpdateJuly 17, 20192 updates tracked since enumeration

✔ NPI 1700318060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AL · 6432

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8263 MADISON BLVD STE A, Madison, AL 35758

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Secondary Practice Location 1

Location 1875 Union AveMemphis, TN 38103-3513 · Phone (901) 448-2242 · Fax (901) 448-1294

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Mimms's NPI number?

The NPI number for Jake Mimms is 1700318060. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Jake Mimms located?

Jake Mimms practices at 8263 Madison Blvd Ste A, Madison, AL 35758. The listed phone number is (256) 774-7228.

What is Jake Mimms's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jake Mimms accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Jake Mimms as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jake Mimms was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.