Adrienne Douglas Jennings, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

26374 Issued in TX

Practice address

3600 E McKinney St
Suite 100
Denton, TX 76209

Phone

(855) 697-6453

Fax

(855) 731-5147

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dentistry on Western Center

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1225484496
  NPD Authorized official
• Douglas Jennings Dental Corporation LLC

  • Clinical Medical Laboratory
  • Fort Worth, TX
  • NPI 1548914997
  NPD Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1073630372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST",
            "address_2": "SUITE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76209",
            "telephone_number": "855-697-6453",
            "fax_number": "855-731-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST",
            "address_2": "SUITE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76209",
            "telephone_number": "855-697-6453",
            "fax_number": "855-731-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "ADRIENNE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26374",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Cameron Jefferson, PA-C
• Sydney Jeffrey, LMFT
• Jelani Angels Healthcare, Inc
• Jungyu Esther Jenke, FNP
• Jennifer Polen
• Shinyeong Jeong, MD
• Jerome P. Lisk, M.D., Inc.
• Jerry Petty Counseling PLLC
• Jason Christopher Jessup, PT, MS
• Meredith Ashley Jessup, LCSW

• Dentist in Denton, TX
• Providers in Denton, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.