Individual provider Active NPI

James Allen Jennings, DDS

  • Pediatric Dentistry
  • Casa Grande, AZ
National Provider Identifier
1083735211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D4544 Issued in AZ
Practice address
907 E Cottonwood LN Ste 1
Casa Grande, AZ 85222-2226
Phone
(520) 876-5431
Fax
(520) 876-4875
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D4544 AZ Primary

Addresses

Primary practice location

907 E Cottonwood LN Ste 1
Casa Grande, AZ 85222-2226

Mailing address

907 E Cottonwood LN Ste 1
Casa Grande, AZ 85222-2226
Phone (520) 876-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D4544AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Malingkas DMD PLLC Pediatric Dentistry PastSince Sep 8, 2024 Accepting new patients
Kid-1 Pediatric Dentistry Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083735211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E COTTONWOOD LN STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852222226",
            "telephone_number": "520-876-5431",
            "fax_number": "520-876-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E COTTONWOOD LN STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852222226",
            "telephone_number": "520-876-5431",
            "fax_number": "520-876-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D4544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.