Active NPI
Jennifer Wynn Kernagis, DMD
- General Practice Dentistry
- Lithia, FL
National Provider Identifier
1720121023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN15256
- Practice address
- 5486 Lithia Pinecrest Rd
Lithia, FL 33547-2853 - Phone
- (813) 571-5555
- Fax
- (813) 571-5559
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN15256 | FL | Primary |
Addresses
Primary practice location
5486 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Mailing address
5486 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Phone (813) 571-5555
Other names 1
- Jennifer D Wynn
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 |
|---|---|---|---|
| DN15256 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1720121023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5486 LITHIA PINECREST RD",
"city": "LITHIA",
"state": "FL",
"postal_code": "335472853",
"telephone_number": "813-571-5555",
"fax_number": "813-571-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5486 LITHIA PINECREST RD",
"city": "LITHIA",
"state": "FL",
"postal_code": "335472853",
"telephone_number": "813-571-5555",
"fax_number": "813-571-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNAGIS",
"first_name": "JENNIFER",
"middle_name": "WYNN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN15256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WYNN",
"middle_name": "D",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.