Individual provider Active NPI

Jennifer L Csenge, DDS

  • General Practice Dentistry
  • Deland, FL
National Provider Identifier
1235662032
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23638 Issued in FL
Practice address
449 E New York Ave
Deland, FL 32724-5511
Phone
(386) 738-1188
NPI assigned
Apr 7, 2017
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23638 FL Primary

Addresses

Primary practice location

449 E New York Ave
Deland, FL 32724-5511

Mailing address

449 E New York Ave
Deland, FL 32724-5511
Phone (386) 738-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128000710 FL Order and Referring Only - DentistPractitioner - Dentist 8426483116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23638FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1235662032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245511",
            "telephone_number": "386-738-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245511",
            "telephone_number": "386-738-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSENGE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.