1. Home
  2. Directory
  3. Tennessee
  4. Kingsport
  5. Dentist
  6. NPI Profile

DR. JENNI MARIE O'MALLEY D.M.D
NPI 1609144997
Dentist in Kingsport, TN

Active since December 01, 2011PECOS Enrolled
1105 W STONE DR STE 5, KINGSPORT, TN 37660(423) 224-5697 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2020, Oct 16, 2017, Oct 27, 2016 (3 updates tracked since 2016).

About Dr. Jenni Marie O'malley D.m.d NPPES

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

DR. JENNI MARIE O'MALLEY D.M.D (NPI 1609144997) is an individual dentist in Kingsport, Tennessee, licensed in South Carolina (8896) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609144997
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JENNI MARIE O'MALLEYCredential: D.M.D
Location Address1105 W STONE DR STE 5Kingsport, TN 37660-2558
Mailing Address1374 Cattail PtJohnson City, TN 37601-9404 · (407) 791-7997
Phone(423) 224-5697
Sole ProprietorYes
Enumeration DateDecember 1, 2011
Last NPPES UpdateOctober 27, 20213 updates tracked since enumeration
NPPES CertifiedOctober 27, 2021
✔ NPI 1609144997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in SC · 8896✔ Licensed in TX · 27456✔ Licensed in TN · 11246✔ Licensed in FL · 21809
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 27456 (TX)
1105 W STONE DR STE 5, Kingsport, TN 37660
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, 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. Jenni Marie O'malley D.m.d 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 37660 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Jenni O'malley's NPI number?

The NPI number for Jenni O'malley is 1609144997. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Jenni O'malley located?

Jenni O'malley practices at 1105 W Stone Dr Ste 5, Kingsport, TN 37660. The listed phone number is (423) 224-5697.

What is Jenni O'malley's specialty?

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

Is Jenni O'malley enrolled in Medicare?

Yes. Jenni O'malley is registered in the Medicare PECOS enrollment system.

What insurance does Jenni O'malley accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jenni O'malley 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 Jenni O'malley was last updated on October 27, 2021. 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.