Individual provider Active NPI

Carlyn Jean Malenfant, DMD

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1407418262
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026343 Issued in OH
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

Updated by the provider on Feb 22, 2023

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 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

IdentifierTypeStateIssuer
11501OtherNCPRIVATE 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

LicenseStateTypeSpecialty
30.026343OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Delhi Township Dental LLC Current Accepting new patients
Village Dental Milford LLC Current Accepting new patients
Carlyn Malenfant DMD LLC CurrentSince Feb 26, 2023 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.

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.

Verify at the official NPI Registry.