David Jenkins, P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI01599700 Issued in NJ

Legal business name

DAVID JENKINS, P.A.

Practice address

180 Old Tappan Rd
Old Tappan, NJ 07675-7052

Phone

(201) 768-0018

NPI assigned

Jan 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Jenkins, D.M.D., M.S.D.NPI 1114070190

Title

President

Phone

(201) 767-7992

Specialties & licenses 1

Addresses

Other names 1

• Jenkins Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Jenkins, D.M.D., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Old Tappan, NJ
  • NPI 1114070190
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023161007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GREENWOODS RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757052",
            "telephone_number": "201-768-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JENKINS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-767-7992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI01599700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkins Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eunkyung Choi
• Ki W Choi
• Angela J Clark
• Ashley Crumby, M.D.
• Curalta Medical LLC
• Diana De Jesus, LCSW
• Arthur Robert De Siimone, M.D.
• Ann Marie Deangelo, MD
• Spero Evan Demoleas, D.P.M.
• Donna Maria Dephillips, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.