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Dr. Kenjula Brown , DDS

Dentist - General Practice β€’ Jacksonville, FL

Active NPI 1619325891 Individual Practitioner Female Practitioner
Practice location in NPPES

7540 Gate Pkwy Ste 110
Jacksonville, FL 322563104

Call 9043233140 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

7540 Gate Pkwy Ste 110

Jacksonville, FL 322563104

Telephone 9043233140
Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone
The Smile Society, Pllc Facility NPI 1528853751

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

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Jacksonville, FL; Kissimmee, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $47.32 across 2 records.

By nature of payment

  • Honoraria: $47.32 across 2 records.

Reporting-company totals

  • Benco Dental Supply Co.: $47.32 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2016

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 Jacksonville and Florida

351 active clinicians are listed under Dentist - General Practice with a practice address in Jacksonville, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 351 clinicians have the CMS telehealth indicator.

0% of these 351 clinicians are listed by CMS as accepting Medicare assignment.

CMS data by year

Changes may reflect reporting, coverage or privacy limits, not changes in care quality.

  • Industry payments (Open Payments)

    Industry payments (Open Payments) went from $75.50 in 2019 to $47.32 in 2025.

    • 2019: $75.50
    • 2020: $13.58
    • 2022: $75.00
    • 2024: $920.13
    • 2025: $47.32

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $47.32.

Manufacturer Payment Nature Product Type Amount ($)
Benco Dental Supply Co.
Honoraria
In-kind items and services
 β€” General $25.94
Benco Dental Supply Co.
Honoraria
In-kind items and services
 β€” General $21.38

Source: CMS Open Payments, program year 2025, released June 30, 2026.

A reported payment does not necessarily indicate wrongdoing; clinicians can dispute a record with CMS.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN24031

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES VA 0401415221

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

1680 Dunn Ave Ste 31

Jacksonville, FL 322184744

Phone: 8559745437

1319 E Osceola Pkwy Ste C

Kissimmee, FL 347441606

Phone: 4073430509

3615 Dupont Ave Ste 200-400

Jacksonville, FL 322172790

Phone: 8559745437

Career & Practice History Timeline

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

19 Historical Events
πŸ“
Updated Practice Location November 22, 2025

Registered at 7540 GATE PKWY STE 110, JACKSONVILLE, FL 322563104 (Tel: 9043233140)

πŸ“
Updated Business Mailing Address November 22, 2025

Registered at 7540 GATE PKWY STE 110, JACKSONVILLE, FL 322563104 (Tel: 9043233140)

πŸ“
Updated Practice Location October 12, 2023

Registered at 3615 DUPONT AVE STE 200-400, JACKSONVILLE, FL 322172790 (Tel: 8559745437)

πŸ“
Updated Business Mailing Address October 12, 2023

Registered at 3020 HARTLEY RD STE 210, JACKSONVILLE, FL 322578206 (Tel: 9043957772)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Dentist (license number reported to NPPES: VA 0401415221)

πŸ“
Updated Practice Location May 10, 2021

Registered at 1614 W PLAZA DR, TALLAHASSEE, FL 323085324 (Tel: 8507929100)

πŸ“
Updated Business Mailing Address May 10, 2021

Registered at 1614 W PLAZA DR, TALLAHASSEE, FL 323085324 (Tel: 8507929100)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2021

Dentist (license number reported to NPPES: FL DN24031)

βœ…
NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 12, 2017

Registered at 9547A FAIRFAX BLVD, FAIRFAX, VA 220314740 (Tel: 7033592879)

πŸ“
Updated Business Mailing Address December 12, 2017

Registered at 9547A FAIRFAX BLVD, FAIRFAX, VA 220314740 (Tel: 7033592879)

πŸ‘€
Provider Name / Credentials Updated December 12, 2017

Recorded as KENJULA BROWN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2017

Dentist (license number reported to NPPES: VA 0401415221)

βœ…
NPI Profile Active May 29, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 29, 2016

Registered at 1020 ELDEN ST, SUITE 106, HERNDON, VA 201703843 (Tel: 7039554221)

πŸ“
Business Mailing Address (Initial Record) May 29, 2016

Registered at 1020 ELDEN ST, SUITE 106, HERNDON, VA 201703843 (Tel: 7039554221)

πŸ‘€
Provider Name / Credentials (Initial Record) May 29, 2016

Recorded as KENJULA BROWN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2016

Dentist (license number reported to NPPES: VA 0401415221)

🟒
Initial NPI Registration & Enumeration May 29, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619325891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2016
Last Update: November 22, 2025
Sole Proprietor: No
Update or Correct Profile

Other Dentist - General Practices in Jacksonville

All Dentist - General Practices in Jacksonville

Mailing Address

7540 Gate Pkwy Ste 110

Jacksonville, FL 322563104

Phone: 9043233140

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.