Individual provider Active NPI

Jennilyn April McEnroe, D.M.D.

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1669603270
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15668 Issued in MD
Practice address
923 Bonifant Street
Silver Spring, MD 20902
Phone
(305) 565-8889
NPI assigned
Jul 30, 2009
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18827 FL
General Practice Dentistry 1223G0001X 0401414421 VA
General Practice Dentistry 1223G0001X 15668 MD Primary

Addresses

Primary practice location

923 Bonifant Street
Silver Spring, MD 20902

Mailing address

11520 Georgia Ave
Silver Spring, MD 20902-1915
Phone (904) 704-0867

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@sunshinesmilesdentalcare.com

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
DN18827FLMDDentist
0401414421VAMDGeneral Practice Dentistry
15668MDMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennilyn a Estell DMD PLLC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: info@sunshinesmilesdentalcare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1669603270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021915",
            "telephone_number": "904-704-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 BONIFANT STREET",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "305-565-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENROE",
        "first_name": "JENNILYN",
        "middle_name": "APRIL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18827",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414421",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sunshinesmilesdentalcare.com",
            "affiliation": "N",
            "address_1": "923 Bonifant Street",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "20902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.