Kenya Jihad Larkins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS8220 Issued in TN

Practice address

11092 Highway 51 S Ste B
Atoka, TN 38004-4947

Phone

(901) 412-9540

NPI assigned

Oct 26, 2005

Last updated

Dec 31, 2013By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

• Kenya J. Larkins,DDS,LLC

  dba atoka family dentistry

  • General Practice Dentistry
  • Atoka, TN
  • NPI 1750553897
  NPD (past) Authorized official

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1326038852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11092 HIGHWAY 51 S STE B",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044947",
            "telephone_number": "901-412-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11092 HIGHWAY 51 S STE B",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044947",
            "telephone_number": "901-412-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKINS",
        "first_name": "KENYA",
        "middle_name": "JIHAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440255",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Atoka, TN
• Providers in Atoka, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.