Alvin Phillips Jenkins, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4208 Issued in NC

Practice address

420 E. Second St.
West Jefferson, NC 28694-0387

Phone

(336) 246-8888

Fax

(336) 846-3138

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emily J. Stopper, DDS, PLLC

  dba Sleep & Headache Solutions

  • Dental Clinic/Center
  • West Jefferson, NC
  • NPI 1497266530
  NPD (past)
• Jenkins and Stopper, DDS, PA

  dba Mountain Town Dental

  • General Practice Dentistry
  • West Jefferson, NC
  • NPI 1992089882
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275547952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E. SECOND ST.",
            "address_2": "P. O. BOX 387",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286940387",
            "telephone_number": "336-246-8888",
            "fax_number": "336-846-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E. SECOND ST.",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286940387",
            "telephone_number": "336-246-8888",
            "fax_number": "336-846-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ALVIN",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "94553",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339397",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Hogan
• Home Town Drug Stores Inc
• Icenhour Therapy. PLLC (Icenhour Therapy)
• Ingles Markets Inc (Ingles Pharmacy #082)
• Jenkins and Stopper, DDS, PA (Mountain Town Dental)
• Jill Barr Johnson, RPH
• Jones Adaptive Mobility LLC
• Heather Denise Jordan, MA, CCC-SLP
• Joy Spring Maternal Mental Health (Joy Spring Mental Health)
• Toria Marquel Knox, DO

• General Practice Dentistry in West Jefferson, NC
• Providers in West Jefferson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.