Dennis Eugene Jennings, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

5806015 Issued in WI

Practice address

5553 Waterford LN
Appleton, WI 54913-8468

Phone

(920) 739-7165

Fax

(920) 739-7361

NPI assigned

Sep 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1689774341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E BENTON DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138688",
            "telephone_number": "920-734-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 WATERFORD LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138468",
            "telephone_number": "920-739-7165",
            "fax_number": "920-739-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DENNIS",
        "middle_name": "EUGENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "5806015",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "12024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33792400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin Jedlicka
• Rachel A Jenike
• Jessica M Jenkins-Werner, M.S., CCC-A/SLP
• Alicia Jennerjohn
• Alyssa Jennings, PA-C
• Jensen Chiropractic, LLC
• Ashley Jensen, LPC
• Janelle J. Jensen, APNP
• Karen Louise Jensen, PT, CHT.
• Katherine C Jensen, LPC

• Prosthodontics in Appleton, WI
• Providers in Appleton, WI by specialty
• Prosthodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.