Individual provider Active NPI

Nolan Jenkins, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Austin, TX
National Provider Identifier
1124456363
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
34660 Issued in TX
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131003277 TX Practitioner - Oral Surgery 7214234988 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
018001888ILMDDentist
34660TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Jan 1, 2019 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.