Organization Active NPI

Jenkins Dental Partners II PC

  • Dental Clinic/Center
  • Sparks, NV
National Provider Identifier
1184188575
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JENKINS DENTAL PARTNERS II PC
Doing business as
Caffaratti Dental Group
Signature Nevada FFS Dental Partners
Practice address
730 Baring Blvd
Sparks, NV 89434-1500
Phone
(775) 358-1555
NPI assigned
Jan 30, 2019
Organization subpart
Yes
Parent organization
SIGNATURE DENTAL PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Melody Bennion
Title
Director of Integrations
Phone
(480) 234-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

730 Baring Blvd
Sparks, NV 89434-1500

Mailing address

410 N 44TH St Ste 290
Phoenix, AZ 85008-7622
Phone (480) 626-4154

Other practice location 1

730 Baring Blvd
Sparks, NV 89434-1500
Phone (775) 358-1555

Other names 2

  • Caffaratti Dental Group Doing business as
  • Signature Nevada FFS Dental Partners Doing business as

National Provider Directory

National Provider Directory
Part of
Signature Dental Partners LLC

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1184188575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 44TH ST STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087622",
            "telephone_number": "480-626-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894341500",
            "telephone_number": "775-358-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Baring Blvd",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894341500",
            "country_code": "US",
            "telephone_number": "775-358-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENKINS DENTAL PARTNERS II PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
        "enumeration_date": "2019-01-30",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "480-234-8490"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caffaratti Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Nevada FFS Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.