Active NPI
Janna Cloninger Civils, DDS
- Dentist
- Greensboro, NC
National Provider Identifier
1699730598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7263
- Practice address
- 601 Walter Reed Dr
Greensboro, NC 27403-4647 - Phone
- (336) 763-8833
- Fax
- (336) 855-1343
- NPI assigned
- Apr 20, 2006
- Last updated
- Jul 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7263 | NC | Primary |
Addresses
Primary practice location
601 Walter Reed Dr
Greensboro, NC 27403-4647
Mailing address
601 Walter Reed Dr
Greensboro, NC 27403-4647
Phone (336) 763-8833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899018W | Medicaid | NC | |
| 9018W | Other | NC | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7263 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J David Civils & Janna C Civils DDS PA | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Greensboro, NC
- NPI 1871558726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406246400000",
"number": "1699730598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 WALTER REED DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274034647",
"telephone_number": "336-763-8833",
"fax_number": "336-855-1343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WALTER REED DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274034647",
"telephone_number": "336-763-8833",
"fax_number": "336-855-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIVILS",
"first_name": "JANNA",
"middle_name": "CLONINGER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2014-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899018W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9018W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.