Jennifer L Cavanaugh, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN19962 Issued in FL

Practice address

1111 N Parkway Frontage Rd
Lakeland, FL 33803-0400

Phone

(863) 644-2408

NPI assigned

Jul 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer L Senge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Jennifer L. Cavanaugh, DMD LLC

  • Pediatric Dentistry
  • Fort Myers, FL
  • NPI 1982296240
  NPD Authorized official
• Bopp and Tarver PLLC

  • Pediatric Dentistry
  • Lakeland, FL
  • NPI 1023318052
  NPD (past)

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

{
    "created_epoch": "1309651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1740577352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 VIA RIALTO ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055412",
            "telephone_number": "412-370-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N PARKWAY FRONTAGE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338030400",
            "telephone_number": "863-644-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-03",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038741",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN19962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SENGE",
            "middle_name": "L",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathy'S Adult Family Care Home
• Charles J Catinella, CST
• Lucy Faith Catts
• Eric George Catz, MD
• Brittany Caudle
• Maria Antonieta Cavero-Rankin, M.D.
• Alex Cayon, OD
• Ryan Christopher Cayson
• Toni Cecil, MAT, LAT, ATC
• Adriana Patricia Cedeno Arencibia

• Pediatric Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.