Seth Graff Jennings, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010067 Issued in AZ

Practice address

1093 Hancock Rd
Bullhead City, AZ 86442-5904

Phone

(928) 758-5588

NPI assigned

Jun 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Jennings-Larson Family Dentistry

  • General Practice Dentistry
  • Bullhead City, AZ
  • NPI 1427102839
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1376036699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8394 LOWER TRAILHEAD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136150",
            "telephone_number": "928-201-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 HANCOCK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425904",
            "telephone_number": "928-758-5588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5221 Hwy 95 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "864269244",
            "country_code": "US",
            "telephone_number": "928-577-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "SETH",
        "middle_name": "GRAFF",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Health Primary Care PLLC
• Stephenie Ivy, PTA
• J.L. Artificial Limb & Brace LLC
• Alana Jackson, CHIROPRACTER
• Jennings-Larson Family Dentistry
• Thadd Jennings, D.D.S.
• Dana Johansen
• Darren Keith Johnson, ACNPC-AG
• Debe Anne Johnson, MASSAGE THERAPIST
• Whitney Johnson

• Dentist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.