DR. JENISE KWAK DMD
NPI 1417478223
Dentist - General Practice in Austin, TX

Q: What is Jenise Kwak's NPI number?

The NPI number for Jenise Kwak is 1417478223. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Q: What is Jenise Kwak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jenise Kwak was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 30, 2017PECOS Enrolled

2800 S INTERSTATE 35 STE 500, AUSTIN, TX 78681(512) 726-0440 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jun 30, 2017 (2 updates tracked since 2017).

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About Dr. Jenise Kwak Dmd NPPES

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

DR. JENISE KWAK DMD (NPI 1417478223) is an individual general practice provider in Austin, Texas, licensed in Texas (35014) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417478223

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JENISE KWAKCredential: DMD

Location Address2800 S INTERSTATE 35 STE 500Austin, TX 78681-8098

Mailing Address2800 S Interstate 35 Ste 500Austin, TX 78681-8098

Phone(512) 726-0440

Sole ProprietorYes

Enumeration DateJune 30, 2017

Last NPPES UpdateJune 28, 20222 updates tracked since enumeration

NPPES CertifiedJune 28, 2022

✔ NPI 1417478223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 35014

Definition

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.

2800 S INTERSTATE 35 STE 500, Austin, TX 78681

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13043 Main St # AGlastonbury, CT 06033-1029 · Phone (860) 430-4106

Location 2434 N Main StEast Longmeadow, MA 01028-1850 · Phone (413) 273-8179

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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. Jenise Kwak Dmd 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 78681 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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

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

KANIKA AGARWAL DMD

Dentist (General Practice)

2800 S INTERSTATE 35 STE 500
ROUND ROCK, TX 78681

Williamson County (512) 726-0440

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 Jenise Kwak's NPI number?

The NPI number for Jenise Kwak is 1417478223. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Jenise Kwak located?

Jenise Kwak practices at 2800 S Interstate 35 Ste 500, Austin, TX 78681. The listed phone number is (512) 726-0440.

What is Jenise Kwak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jenise Kwak enrolled in Medicare?

Yes. Jenise Kwak is registered in the Medicare PECOS enrollment system.

What insurance does Jenise Kwak accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Jenise Kwak 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 Jenise Kwak was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.