James Adam Jenders, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6651-015 Issued in WI

Practice address

8 Boon Blvd
Neillsville, WI 54456-2176

Phone

(715) 743-1900

NPI assigned

Apr 19, 2010

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1629394416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BOON BLVD",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544562176",
            "telephone_number": "715-743-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BOON BLVD",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544562176",
            "telephone_number": "715-743-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDERS",
        "first_name": "JAMES",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6651-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "8 Boon Blvd",
            "city": "Neillsville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544562176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven P Henrickson
• Kimberly L Henry, COTA
• Autumn A Hocking, APSW
• Home Medical Solutions LLC
• Barry Jakel
• John Scaletta D.D.S.LTD.
• David R Jones, MD
• Elizabeth A Jones
• Kathryn D Kinter, LPC
• David Klieforth, RPH

• General Practice Dentistry in Neillsville, WI
• Providers in Neillsville, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.