Jennifer Dole

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42994 Issued in CA

Practice address

190 San Marin Dr
Suite B
Novato, CA 94945-1218

Phone

(415) 898-6042

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jennifer I. Dole DDS Inc

  • Dentist
  • Novato, CA
  • NPI 1336967678
  NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1225255342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SAN MARIN DR",
            "address_2": "SUITE B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451218",
            "telephone_number": "415-898-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SAN MARIN DR",
            "address_2": "SUITE B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451218",
            "telephone_number": "415-898-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLE",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Digiorgio-Haag
• Christina Dixon, RDHAP
• Liselotte Annemarie Dixon, MFT
• Dawn Marie Dodele
• Sarah Doherty, BCBA
• Shawn M. Donald, MD
• Myron Lee Donesky, D.D.S.
• Barbara Doran, NP
• Laurel Doremus, PT
• Marc Jay Doshay, M.A., MFTI

• General Practice Dentistry in Novato, CA
• Providers in Novato, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.