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Dr. Jared Andrew Ining , DDS

Dentist β€’ Petaluma, CA

Active NPI 1063301448 Individual Practitioner Male Practitioner
Practice location in NPPES

1179 N Mcdowell Blvd
Petaluma, CA 949546559

Call 7075597500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1179 N Mcdowell Blvd

Petaluma, CA 949546559

Telephone 7075597500
Organization at the Same NPPES Address or Phone
Petaluma Health Center Inc Facility NPI 1588656268

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Petaluma and California

20 active clinicians are listed under Dentist with a practice address in Petaluma, CA (14,738 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Petaluma

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-02
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES CA 111930

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Amy Adams , MD

Emergency Medicine

NPI 1700976610

Doctor of Medicine (M.D.)

NPI 1053306795

Doctor of Medicine (M.D.)

Miriam Avena-Mascareno , FNP-C

Nurse Practitioner - Family

NPI 1629797246

Family Nurse Practitioner (Certified)

Stephanie Bedolla , NP-C

Nurse Practitioner - Adult Health

NPI 1265717565

Nurse Practitioner (Certified)

Leesa Benenhaley , FNP

Nurse Practitioner - Family

NPI 1386040129

Family Nurse Practitioner

NPI 1063161297

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2025

Dentist (license number reported to NPPES: CA 111930)

βœ…
NPI Profile Active July 01, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 01, 2025

Registered at 1179 N MCDOWELL BLVD, PETALUMA, CA 949546559 (Tel: 7075597500)

πŸ“
Business Mailing Address (Initial Record) July 01, 2025

Registered at 4028 24TH ST, SAN FRANCISCO, CA 941143716

πŸ‘€
Provider Name / Credentials (Initial Record) July 01, 2025

Recorded as JARED INING, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 01, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063301448
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2025
Last Update: September 02, 2025
Sole Proprietor: No

Other Dentists in Petaluma

All Dentists in Petaluma

Mailing Address

4028 24th St

San Francisco, CA 941143716

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.