JENNEATE RADIX-GRANT DDS
NPI 1457919789
Dentist in Brooklyn, NY

Q: What is Jenneate Radix-grant's NPI number?

The NPI number for Jenneate Radix-grant is 1457919789. It was assigned to this individual provider in the NPPES registry on June 2, 2019. The provider is also known as Jenneate Radix Dds.

Q: What is Jenneate Radix-grant's specialty?

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

Active since June 02, 2019PECOS Enrolled

1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-6552 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2026, Oct 15, 2021, Jun 2, 2019 (3 updates tracked since 2019).

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About Jenneate Radix-grant Dds NPPES

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

JENNEATE RADIX-GRANT DDS (NPI 1457919789) is an individual dentist in Brooklyn, New York, licensed in New York (061516-01) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Howard University College Of Dentistry (2019).

NPPES Registry Identity

NPI1457919789

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJENNEATE RADIX-GRANTCredential: DDS

Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139

Mailing Address110 W 97th StNew York, NY 10025-6450

Phone(718) 240-6552

Sole ProprietorYes

Medical School CMSHoward University College Of DentistryGraduated 2019

Enumeration DateJune 2, 2019

Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1457919789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 061516-01

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.

1 BROOKDALE PLZ, Brooklyn, NY 11212

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Other Names 1

Former Name (1)Jenneate Radix Dds

Secondary Practice Location 1

Location 1110 W 97th StNew York, NY 10025-6450 · Phone (212) 749-1820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenneate Radix-grant Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921582438

PECOS Enrollment IDI20260324000307

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 11212 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 20

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

MADI LINDAUER MD

Emergency Medicine