Jenkins Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3244 Issued in VA

Legal business name

JENKINS DENTAL GROUP

Practice address

3349 Portsmouth Blvd
Portsmouth, VA 23701-3023

Phone

(757) 393-4361

Fax

(757) 393-3738

NPI assigned

Mar 31, 2008

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Carla Y Johnson

Title

Receptionist

Phone

(757) 393-4361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1316119373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013023",
            "telephone_number": "757-393-4361",
            "fax_number": "757-393-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013023",
            "telephone_number": "757-393-4361",
            "fax_number": "757-393-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "757-393-4361",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "3244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Eleanor Jefferson, D.O.
• Jeffrey S Goodman PHD, PC
• Rebekah Lynn Jeffrey
• Veneeca Jeffries
• Jencare Neighborhood Medical Victory, LLC (JenCare Neighborhood Medical Centers)
• Bryson Reed Jenkins, DO
• Sheryl Chapman Jenkins, RN
• Esther Nicole Jenks
• Macnair Weddell Jennings, DO
• Lillian Fang Jentz

• General Practice Dentistry in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.