Individual provider Active NPI

Meghan Ruth Jennings, D.M.D.

  • Dentist
  • Milwaukee, WI
National Provider Identifier
1477993731
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7096-15 Issued in WI
Practice address
1260 N Prospect Ave
Apt 305
Milwaukee, WI 53202-3020
Phone
(309) 202-1184
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7096-15 WI Primary

Addresses

Primary practice location

1260 N Prospect Ave
Apt 305
Milwaukee, WI 53202-3020

Mailing address

1260 N Prospect Ave
Apt 305
Milwaukee, WI 53202-3020
Phone (309) 202-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20150327002076 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1456678671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7096-15WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1477993731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N PROSPECT AVE",
            "address_2": "APT 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023020",
            "telephone_number": "309-202-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N PROSPECT AVE",
            "address_2": "APT 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023020",
            "telephone_number": "309-202-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MEGHAN",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7096-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.