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

Q: 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.

Q: What is Jinaki Stallworth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jinaki Stallworth was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 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: October 18, 2026.

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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

Phone(212) 923-7212

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jinaki Stallworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harlem Medical Associates PC

0.8 mi

General Practice

506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037

Reassigned Medicare billing, New York enrollment
676 clinicians in this Medicare group

NPI 1487957692 (631) 675-9300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Jinaki Stallworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jinaki Stallworth reassigns Medicare benefits to Harlem Medical Associates PC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jinaki Stallworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jinaki Stallworth was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.