Active NPI
Nolan Jenkins, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 34660
- Practice address
- 901 W 38TH St Ste 410
Austin, TX 78705-1162 - Phone
- (512) 992-1378
- Fax
- (512) 992-1379
- NPI assigned
- Oct 25, 2013
- Last updated
- Apr 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 018001888 | IL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 34660 | TX | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 34660 | TX | Primary |
Addresses
Primary practice location
901 W 38TH St Ste 410
Austin, TX 78705-1162
Mailing address
901 W 38TH St Ste 410
Austin, TX 78705-1162
Phone (512) 992-1378
Other practice location 1
4900 Mueller Blvd
Austin, TX 78723-3051
Phone (512) 324-0000
Other practice location 2
1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000
Other practice location 3
11113 Research Blvd
Austin, TX 78759-5236
Phone (512) 324-6000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Oklahoma College of Dentistry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11113 Research Blvd
Austin, TX 78759-5236
Phone (512) 324-6000
1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000
901 W 38TH St
Suite 410
Austin, TX 78705-1162
Phone (512) 992-1378
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018001888 | IL | MD | Dentist |
| 34660 | TX | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Oral & Maxillofacial Surgery | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
1500 Red River St
Austin, TX 78701
Phone (512) 324-0150
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
901 W 38th St
Ste 410
Austin, TX 78705
Phone (512) 992-1378
Organizations & group practices 1
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Austin, TX
- NPI 1124598917
Oral and Maxillofacial Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dell Seton Medical Center at the University of Texas
- General Acute Care Hospital
- Austin, TX
- NPI 1093810327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1124456363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W 38TH ST STE 410",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051162",
"telephone_number": "512-992-1378",
"fax_number": "512-992-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W 38TH ST STE 410",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051162",
"telephone_number": "512-992-1378",
"fax_number": "512-992-1379"
}
],
"practiceLocations": [
{
"address_1": "4900 Mueller Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787233051",
"country_code": "US",
"telephone_number": "512-324-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Red River St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787011918",
"country_code": "US",
"telephone_number": "512-324-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11113 Research Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787595236",
"country_code": "US",
"telephone_number": "512-324-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "NOLAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-25",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "018001888",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "34660",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "34660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.