Individual provider Active NPI

Lindsay Rachel Jenkins, D.D.S.

  • General Practice Dentistry
  • Oakland, MD
National Provider Identifier
1174739627
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13736 Issued in MD
Practice address
323 East Oak Street
Oakland, MD 21550-1503
Phone
(301) 334-3435
Fax
(301) 334-3481
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13736 MD Primary

Addresses

Primary practice location

323 East Oak Street
Oakland, MD 21550-1503

Mailing address

323 East Oak Street
Oakland, MD 21550-1503
Phone (301) 334-3435

Other identifiers 1

IdentifierTypeStateIssuer
012604700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 10, 2015 through Oct 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13736MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Dental Rhodes P.C. General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1174739627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 EAST OAK STREET",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501503",
            "telephone_number": "301-334-3435",
            "fax_number": "301-334-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 EAST OAK STREET",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501503",
            "telephone_number": "301-334-3435",
            "fax_number": "301-334-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LINDSAY",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012604700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.