Denver D Jenkins Jr DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

3019214 Issued in OH

Legal business name

DENVER D JENKINS JR DDS INC

Practice address

14805 Detroit Ave
Suite #300
Lakewood, OH 44107

Phone

(216) 221-0300

Fax

(216) 221-0308

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Denver D Jenkins Jr., DDS

Title

Dentist Owner

Phone

(216) 221-0300

Specialties & licenses 1

Addresses

Other names 1

• Dr Denver Jenkins Other name

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1396848909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE",
            "address_2": "SUITE #300",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-221-0300",
            "fax_number": "216-221-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE",
            "address_2": "SUITE #300",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-221-0300",
            "fax_number": "216-221-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER D JENKINS JR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DENVER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "216-221-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "3019214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Denver Jenkins",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Latoria Davis, QMHS
• Christine Ann Dearth, CNP
• Hannah Nicole Decker, PA
• Genaro Alejandro Deleon, MD
• Dalisa Delk, R.N
• Ann L Devaty Kiraly, LPCC
• Gregory P Devor, D.D.S.
• Connor Aaron Dewalt
• Nicholas C Diamantis, MD
• Arturo H Diaz, M.D.

• Dentist in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.