NPIMap

Organization Active NPI

Thomas M Jeneary DDS PC

Doing business as Jeneary Dental

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Le Mars, IA
National Provider Identifier
1366051799
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
THOMAS M JENEARY DDS PC
Doing business as
Jeneary Dental
Practice address
827 Holton Dr
Le Mars, IA 51031-3759
Phone
(712) 546-4556
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THOMAS M JENEARY DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Brenda Galles, XDAEF
Title
Office Manager
Phone
(712) 546-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

827 Holton Dr
Le Mars, IA 51031-3759

Mailing address

827 Holton Dr
Le Mars, IA 51031-3759
Phone (712) 546-4556

Other names 1

  • Jeneary Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Thomas M Jeneary DDS PC

Locations

827 Holton Dr
Le Mars, IA 51031
Phone (712) 546-4556

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1366051799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 HOLTON DR",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313759",
            "telephone_number": "712-546-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 HOLTON DR",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313759",
            "telephone_number": "712-546-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M JENEARY DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS M JENEARY DDS PC",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "GALLES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-546-4556",
        "authorized_official_credential": "XDAEF"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeneary Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.