Kayla Ann Jennings, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-0007058-C1 Issued in AL

Practice address

311 S 5TH St
Gadsden, AL 35901-4254

Phone

(256) 543-1285

NPI assigned

Jun 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• K. Clay Ellis, Jr., DMD, LLC

  • General Practice Dentistry
  • Gadsden, AL
  • NPI 1770229650
  NPD (past)

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1467182691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014254",
            "telephone_number": "256-543-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014254",
            "telephone_number": "256-543-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D-0007058-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawan Sharad Jalnapurkar, M.D.
• James Michael Gen PTR
• Cierra P James, OTR/L
• Farrukh Jamil, MD
• Darian Danielle Jenkins
• Michael Jennings, MD
• Anna Ruth Jeter, M.D.
• Jennifer Johnson Crowder, CRNP
• Katelyn Johnson-Hughes
• Forrest Johnson Jr.

• General Practice Dentistry in Gadsden, AL
• Providers in Gadsden, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.

Verify at the official NPI Registry.