DR. JINAKI KIANGA STALLWORTH DDS
NPI 1871804740
Dentist - Pediatric Dentistry in New, NY

Active since June 25, 2010PECOS Enrolled
133 MORNINGSIDE AVE, NEW, NY 10030(212) 923-7212 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jinaki Kianga Stallworth Dds NPPES

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

DR. JINAKI KIANGA STALLWORTH DDS (NPI 1871804740) is an individual pediatric dentistry provider in New, New York, licensed in New York (056036) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871804740
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JINAKI KIANGA STALLWORTHCredential: DDS
Location Address133 MORNINGSIDE AVENew, NY 10030
Mailing Address2111 5th Ave Apt 1New York, NY 10035-1032 · (850) 321-7411
Sole ProprietorNo
Enumeration DateJune 25, 2010
Last NPPES UpdateFebruary 23, 2017
NPI 1871804740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 056036
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
133 MORNINGSIDE AVE, New, NY 10030

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. Jinaki Kianga Stallworth Dds 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 10030 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 Jinaki Stallworth's NPI number?

The NPI number for Jinaki Stallworth is 1871804740. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Jinaki Stallworth located?

Jinaki Stallworth practices at 133 Morningside Ave, New, NY 10030. The listed phone number is (212) 923-7212.

What is Jinaki Stallworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jinaki Stallworth enrolled in Medicare?

Yes. Jinaki Stallworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jinaki Stallworth was last updated on February 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.