Individual provider Active NPI

Jenine Nicole Giles, D.D.S

  • Dentist
  • Wake Forest, NC
National Provider Identifier
1336308600
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8604 Issued in NC
Practice address
12520 Capital Blvd
Suite 101 and 201
Wake Forest, NC 27587-4659
Phone
(704) 301-6157
NPI assigned
Jun 3, 2008
Last updated
May 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8604 NC Primary

Addresses

Primary practice location

12520 Capital Blvd
Suite 101 and 201
Wake Forest, NC 27587-4659

Mailing address

5050 Kentworth Dr
Holly Springs, NC 27540-7690
Phone (919) 567-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621000907 NC Order and Referring Only - Other (Non-Physician) 1254622343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8604NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wiggins & Giles, DDS, PA Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1336308600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 KENTWORTH DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407690",
            "telephone_number": "919-567-7400",
            "fax_number": "919-567-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 CAPITAL BLVD",
            "address_2": "SUITE 101 AND 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874659",
            "telephone_number": "704-301-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "JENINE",
        "middle_name": "NICOLE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.