Individual provider Active NPI

Jasmine Jenkins, DMD

  • Dentist
  • Pleasant Hill, CA
National Provider Identifier
1225412968
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102527 Issued in CA
Practice address
2380 Monument Blvd Ste F
Pleasant Hill, CA 94523-3972
Phone
(925) 363-4455
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102527 CA Primary

Addresses

Primary practice location

2380 Monument Blvd Ste F
Pleasant Hill, CA 94523-3972

Mailing address

2380 Monument Blvd Ste F
Pleasant Hill, CA 94523-3972
Phone (925) 363-4455

Other practice location 1

8 Earhart Lndg
Medford, MA 02155-4964
Phone (781) 777-1812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102527CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eva Bender Dental Corporation PastSince Nov 10, 2019 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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1225412968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 MONUMENT BLVD STE F",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233972",
            "telephone_number": "925-363-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 MONUMENT BLVD STE F",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233972",
            "telephone_number": "925-363-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Earhart Lndg",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021554964",
            "country_code": "US",
            "telephone_number": "781-777-1812",
            "fax_number": "781-777-1792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.