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DR. PETER JENGO D.D.S
NPI 1205985553
Dentist in Gardner, MA

Active since January 09, 2007PECOS Enrolled
175 CONNORS STREET, GARDNER, MA 01440(978) 410-6100(978) 410-6176 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Jengo D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER JENGO D.D.S (NPI 1205985553) is an individual dentist in Gardner, Massachusetts, licensed in Massachusetts (10648) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205985553
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PETER JENGOCredential: D.D.S
Location Address175 CONNORS STREETGardner, MA 01440
Mailing Address326 Nichols RdFitchburg, MA 01420 · (978) 878-8516 · Fax (978) 878-8418
Phone(978) 410-6100
Fax(978) 410-6176
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 18, 2015
✔ NPI 1205985553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · 10648
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
175 CONNORS STREET, Gardner, MA 01440
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Other Identifiers 1

Medicaid0212270MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Jengo D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLEY ANN PRENDERGAST PA
Physician Assistant
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6121
ELIZABETH M LIDSTONE JAYANATH MD
Pediatrics
175 CONNORS STREET
GARDER, MA 01440
Worcester County (978) 410-6100
COMMUNITY HEALTH CONNECTIONS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6100
MRS. THERESA L. GACHUNA LICSW
Social Worker (Clinical)
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6131
DR. DENNIS NEAL COHEN D.M.D
Dentist
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6100
MR. DAVID ANDREW OIKEMUS LMHC
Counselor (Mental Health)
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Jengo's NPI number?

The NPI number for Peter Jengo is 1205985553. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Peter Jengo located?

Peter Jengo practices at 175 Connors Street, Gardner, MA 01440. The listed phone number is (978) 410-6100.

What is Peter Jengo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Peter Jengo enrolled in Medicare?

Yes. Peter Jengo is registered in the Medicare PECOS enrollment system.

What insurance does Peter Jengo accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Peter Jengo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Jengo was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.