Hans C Jenkins, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8017616-1204 Issued in UT

Practice address

722 Shepard LN
Suite 102
Farmington, UT 84025

Phone

(385) 988-3965

Fax

(385) 988-3972

NPI assigned

Sep 12, 2005

Last updated

Oct 11, 2019By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Confederated Tribes of the Goshute Reservation

  • General Practice Physician
  • Ibapah, UT
  • NPI 1750510277

  TX

  Medicare reassignment NPD
• Orn Industries, LLC

  dba Orn Total Health

  • Family Medicine Physician
  • Farmington, UT
  • NPI 1528502788
  Authorized official Same address or phone
• Mountainstar Medical Group-Ogden Regional Medical Center, LLC

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1356588008
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1316932866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 SHEPARD LN",
            "address_2": "SUITE 102",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "385-988-3965",
            "fax_number": "385-988-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 SHEPARD LN",
            "address_2": "SUITE 102",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "385-988-3965",
            "fax_number": "385-988-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "HANS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R1743",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "2014605",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "8017616-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihc Health Services Inc (Farmington Expresscare)
• Integrity Hearing and Balance LLC
• Angela Lee Ivester, CRNA
• Melanie Hewitt Jackson, CSW
• Caitlyn Paige Jaklich, OTD, OTR/L
• Jordan Jenkins, DDS
• Paul Russell Jensen, M.D.
• Ashlee Beth Johnson, ACMHC
• Dallin Johnson, DPT
• Johnsons Occupational Therapy

• Family Medicine Physician in Farmington, UT
• Providers in Farmington, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.