Jennifer E Williams Tinnel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60342 Issued in KS

Practice address

8919 Parallel Pkwy
Suite 309
Kansas City, KS 66112-1636

Phone

(913) 299-0704

Fax

(913) 299-3008

NPI assigned

Oct 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Steven D. Pendleton DDS PA

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1023064607
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1821086018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY",
            "address_2": "SUITE 309",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121636",
            "telephone_number": "913-299-0704",
            "fax_number": "913-299-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY",
            "address_2": "SUITE 309",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121636",
            "telephone_number": "913-299-0704",
            "fax_number": "913-299-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS TINNEL",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200328200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsie Wilkinson, MD
• Melanie Wilkinson, NP
• Will 2 B Mobile
• Leah Marie Willhite, PA-C
• Douglas J. Willhoite, MD
• Alexandria Williams
• Amanda Kay Williams, FNP
• Arteshia Williams
• Catherine A Williams, CRNA
• Chelcee Williams

• General Practice Dentistry in Kansas City, KS
• Providers in Kansas City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.