Active NPI
Jenine Nicole Giles, D.D.S
- Dentist
- Wake Forest, NC
National Provider Identifier
1336308600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8604
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160621000907 | NC | Order and Referring Only - Other (Non-Physician) | 1254622343 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8604 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.