Jenise Kwak, DMD
NPI 1417478223 · General Practice Dentistry · Austin, TX
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenise Kwak, DMD is a General Practice Dentistry provider in Austin, TX (NPI 1417478223).
Provider details
- NPI number
- 1417478223
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 35014 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
8 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$188 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 3043 Main St # aGlastonbury, CT 06033-1029Phone: (860) 430-4106
- 434 N Main StEast Longmeadow, MA 01028-1850Phone: (413) 273-8179
Registry dates
- Enumerated
- 2017-06-30
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Frequently asked questions
- What is Jenise Kwak's NPI number?
- Jenise Kwak's National Provider Identifier (NPI) is 1417478223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenise Kwak's specialty?
- Jenise Kwak is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jenise Kwak located?
- Jenise Kwak's practice location on file with NPPES is 2800 S Interstate 35 Ste 500, Austin, TX 78681-8098.
- What is Jenise Kwak's phone number?
- The practice phone number listed in the NPPES registry for Jenise Kwak is (512) 726-0440.
- Does Jenise Kwak accept Medicare?
- Jenise Kwak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jenise Kwak's NPI active?
- Yes — Jenise Kwak's NPI (1417478223) is active in the NPPES registry as of the last update on 2022-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.