Britany Rae Jenkins

Primary specialty

DentistTaxonomy code 122300000X

License

30192 Issued in TX

Practice address

1565 W Main St
Suite 205
Lewisville, TX 75067-3394

Phone

(972) 436-0788

Fax

(972) 436-9188

NPI assigned

Jul 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 May 10, 2016 through May 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smiles and Beyond Dental

  • Dentist
  • Lewisville, TX
  • NPI 1174940761
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1235545674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CLUBVIEW DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061703",
            "telephone_number": "214-454-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W MAIN ST",
            "address_2": "SUITE 205",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673394",
            "telephone_number": "972-436-0788",
            "fax_number": "972-436-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "BRITANY",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Javier-Vong, PT, DPT
• JB Counseling & Wellness PLLC
• Rachel Ann Jeffords, MS CCC SLP
• Jeffrey C. Komenda, M.D., P.a.
• George Jeha, MD
• Jinseon Jeong, OD
• Jesus Take the Wheel, LLC
• Jibron Int'L Inc
• Amanda Villalobos Jimenez Lawson, MD
• Jose Alfredo Jimenez Jr., M.ED.

• Dentist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.