Randall Dee Jenkins, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2087 Issued in HI

Practice address

970 N Kalaheo Ave
Suite C309
Kailua, HI 96734-1801

Phone

(808) 254-5503

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summer T. Wood, D.M.D., L.L.C.

  • Dentist
  • Kailua, HI
  • NPI 1497157002
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114053915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 ULUHAKU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344411",
            "telephone_number": "808-261-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "SUITE C309",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341801",
            "telephone_number": "808-254-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RANDALL",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "2087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Janecek, MSCP, LMFT
• Janice K. Friend, M.D., Inc.
• Janina Paula T Sy-Go MD LLC
• Robert Vit Jao, M.D.
• Jennefer Jessica Jenei
• Jennifer Cartwright LMFT
• Jennifer Pamintuan L.C.S.W. LLC
• Taylor Jensen
• Nani Lehua O Nalani Jenson
• Jessica C. Harper (Jessica C Harper PhD LLC)

• Dentist in Kailua, HI
• Providers in Kailua, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.