Organization Active NPI

Jenkins Podiatry PC

  • Podiatrist
  • Jeffersonville, IN
National Provider Identifier
1336658095
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JENKINS PODIATRY PC
Practice address
3310 Highway 62 East
Suite 179
Jeffersonville, IN 47130
Phone
(502) 759-4318
NPI assigned
Sep 26, 2017
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Daryl Jenkins, DPM
Title
DPM/Owner
Phone
(502) 759-4318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

3310 Highway 62 East
Suite 179
Jeffersonville, IN 47130

Mailing address

3310 Highway 62 East
Suite 179
Jeffersonville, IN 47130

National Provider Directory

National Provider Directory

Locations

3310 E 10th St
Ste 179
Jeffersonvlle, IN 47130
Phone (502) 759-4318

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1336658095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 HIGHWAY 62 EAST",
            "address_2": "SUITE 179",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 HIGHWAY 62 EAST",
            "address_2": "SUITE 179",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "502-759-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "502-759-4318",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.