Adrienne Lucinda Penley, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

3550-10 Issued in MS

Practice address

6480 Highway 11 N
Carriere, MS 39426-8143

Phone

(601) 566-5599

NPI assigned

Jun 11, 2010

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

Medicare fee-for-service enrollment

Enrolled in MS

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

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.

• Penley Family Dentistry

  • General Practice Dentistry
  • Carriere, MS
  • NPI 1134545569
  NPD (past) Authorized official
• Lambert Dental PC

  • Dentist
  • Carriere, MS
  • NPI 1689866477
  NPD (past)

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1982925038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HIGHWAY 11 N",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268143",
            "telephone_number": "601-749-9330",
            "fax_number": "601-749-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 HIGHWAY 11 N",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268143",
            "telephone_number": "601-566-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENLEY",
        "first_name": "ADRIENNE",
        "middle_name": "LUCINDA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3550-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milestone Therapy, LLC
• Mississippi State Department of Health
• Debbie L Moore, DC, LAC
• New Beginnings
• Penley Family Dentistry
• Allyson Marie Penton, FNP
• Picayune Internal Medicine
• Picayune Pediatrics LLC
• Vonda Kaye Polk
• Jim Wade Price, MD

• All providers in Carriere, MS
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.