Active NPI
Ramone Dale Jenkins, D.D.S
- Dentist
- Newton, MA
National Provider Identifier
1285486282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10000362
- Practice address
- 4 Los Angeles St Apt 2308
Newton, MA 02458-2915 - Phone
- (702) 354-6342
- NPI assigned
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401419100 | VA | |
| Dentist | 122300000X | DN10000362 | MA | Primary |
Addresses
Primary practice location
4 Los Angeles St Apt 2308
Newton, MA 02458-2915
Mailing address
4 Los Angeles St Apt 2308
Newton, MA 02458-2915
Phone (702) 354-6342
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN10000362 | MA | MD | Dentist |
| 0401419100 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1285486282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LOS ANGELES ST APT 2308",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582915",
"telephone_number": "702-354-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 LOS ANGELES ST APT 2308",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582915",
"telephone_number": "702-354-6342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "RAMONE",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-03",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401419100",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10000362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.