NPIMap

Organization Active NPI

Ralph K Jenke DDS & Associates PA Dba Polk County Dental Care

  • General Practice Dentistry
  • Livingston, TX
National Provider Identifier
1174882328
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10766 Issued in TX
Legal business name
RALPH K JENKE DDS & ASSOCIATES PA DBA POLK COUNTY DENTAL CARE
Practice address
1114 N Washington Ave
Livingston, TX 77351-2336
Phone
(936) 327-7477
Fax
(936) 327-7479
NPI assigned
May 9, 2012
Organization subpart
Yes
Parent organization
RALPH K JENKE DDS & ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Ralph Kenneth Jenke, DDS
Title
President/Owner
Phone
(936) 327-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10766 TX Primary

Addresses

Primary practice location

1114 N Washington Ave
Livingston, TX 77351-2336

Mailing address

1114 N Washington Ave
Livingston, TX 77351-2336
Phone (936) 327-7477

Other names 1

  • Polk County Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ralph K Jenke DDS Associates PA2 organizations share this tax ID, including this one
Part of
Ralph K Jenke DDS Associates PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1174882328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N WASHINGTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512336",
            "telephone_number": "936-327-7477",
            "fax_number": "936-327-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N WASHINGTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512336",
            "telephone_number": "936-327-7477",
            "fax_number": "936-327-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH K JENKE DDS & ASSOCIATES PA DBA POLK COUNTY DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RALPH K JENKE DDS & ASSOCIATES PA",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "JENKE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "936-327-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk County Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.