Active NPI
Carlyn Jean Malenfant, DMD
- General Practice Dentistry
- Cincinnati, OH
National Provider Identifier
1407418262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.026343
- Practice address
- 6911 Main St
Cincinnati, OH 45244-3008 - Phone
- (513) 272-2792
- NPI assigned
- Jul 2, 2019
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.026343 | OH | Primary |
Addresses
Primary practice location
6911 Main St
Cincinnati, OH 45244-3008
Mailing address
6911 Main St
Cincinnati, OH 45244-3008
Phone (513) 272-2792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11501 | Other | NC | PRIVATE INS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026343 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delhi Township Dental LLC | Current | Accepting new patients | |
| Village Dental Milford LLC | Current | Accepting new patients | |
| Carlyn Malenfant DMD LLC | Current | Accepting new patients |
Locations
6911 Main St
Newtown, OH 45244
Phone (513) 272-2792
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Cincinnati, OH
- NPI 1164120721
-
- Dental Clinic/Center
- Cincinnati, OH
- NPI 1922815513
-
- Dental Clinic/Center
- Milford, OH
- NPI 1457033268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1407418262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 MAIN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452443008",
"telephone_number": "513-272-2792",
"fax_number": "980-444-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 MAIN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452443008",
"telephone_number": "513-272-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALENFANT",
"first_name": "CARLYN",
"middle_name": "JEAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.026343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INS",
"identifier": "11501",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.