MS. JENNIFER A NEISE (NPI# 1336242700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336242700 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER A NEISE |
| Credential | DDS |
| Practice Address |
3132 W. State Road 38 Pendleton IN 46064 |
| Practice Telephone | 7657787585 |
| Practice Fax Number | 7657780795 |
| Mailing Telephone | 7657787585 |
| Mailing Fax Number | 7657780795 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12010223A | IN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12010223A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200525580 | 05 |
| Street Address |
3132 W. STATE ROAD 38 |
| City | PENDLETON |
| State | IN |
| Zip Code | 46064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
| 1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
| 1003004219 | Hamilton-madison, Inc. | Durable Medical Equipment & Medical Supplies | 105 1/2 E. State Street, Pendleton, IN 46064 | 2007-10-12 |
| 1518019637 | Pendleton Emergency Ambulance Inc | Ambulance | 100 S Broadway, Pendleton, IN 46064 | 2007-01-17 |
| 1487755716 | Anna Marie Tallant | Counselor | 131 N Pendleton Ave, Suite A, Pendleton, IN 46064 | 2006-09-26 |
| 1366900599 | Megan Daberko | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2019-03-06 |
| 1821594672 | Jean Castro | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2018-04-02 |
| 1013002310 | Kenneth U Lau | Dentist | 210 East Water Street, Pendleton, IN 46064 | 2006-10-03 |
| 1912955832 | Indiana Tmj Treatment Center | Dentist | 210 East Water Street, Pendleton, IN 46064-0206 | 2006-05-04 |
| 1962496430 | Megan Noel Jones | Optometrist | 120 E State St, Pendleton, IN 46064-1027 | 2005-09-09 |
| Find all providers in zip 46064 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780875534 | Norman Douglas Johnson | Dentist | 3132 W State Road 38, Pendleton, IN 46064-8702 | 2007-08-07 |
| 1871794628 | Sandy Springs Dental Clinic | Dentist | 5302 Hwy 76, Pendleton, SC 29677-9139 | 2007-05-30 |
| 1811038243 | Timothy Blair Smith | Dentist | 310 Se 2nd, Suite 203, Pendleton, OR 97801 | 2007-02-09 |
| 1255470951 | Loc Vinh Vuu | Dentist | 118 Sw 20th St, Pendleton, OR 97801-1804 | 2007-02-06 |
| 1265578371 | Gregory Albert Marzolf | Dentist | 5302 Highway 76, Pendleton, SC 29670-9139 | 2007-01-29 |
| 1154475283 | Arthur Laurens Bruce | Dentist | 896 S Mechanic Street, Pendleton, SC 29670 | 2007-01-23 |
| 1093893323 | Nels Robert Nelson | Dentist | 2801 Sw Nye Ave, Pendleton, OR 97801 | 2006-11-02 |
| 1366456857 | Robert D Johnson | Dentist | 809 Sw Court Ave, Pendleton, OR 97801-1910 | 2006-07-28 |
| 1720002942 | James Allen Sisson | Dentist | 7550 S. State Road 67, Pendleton, IN 46064-9280 | 2006-07-27 |
| 1023038866 | Don R Harsch | Dentist | 715 Sw Dorion Ave Ste 2, Pendleton, OR 97801-2071 | 2006-07-21 |
| Find all providers in PENDLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.