NPIMap

Organization Active NPI

Jeff C Jenkins DDS PC

  • General Practice Dentistry
  • Ft Worth, TX
National Provider Identifier
1407068786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21558 Issued in TX
Legal business name
JEFF C JENKINS DDS PC
Practice address
5109 Brentwood Stair Rd
Ft Worth, TX 76112-2809
Phone
(817) 457-4078
Fax
(817) 446-5888
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeff Curtis Jenkins, DDSNPI 1629122957
Title
President
Phone
(817) 457-4078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21558 TX Primary

Addresses

Primary practice location

5109 Brentwood Stair Rd
Ft Worth, TX 76112-2809

Mailing address

5109 Brentwood Stair Rd
Ft Worth, TX 76112-2809
Phone (817) 457-4078

Other names 1

  • Woodhaven General and Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5109 Brentwood Stair Rd
Ft Worth, TX 76112
Phone (817) 457-4078

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407068786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 BRENTWOOD STAIR RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761122809",
            "telephone_number": "817-457-4078",
            "fax_number": "817-446-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 BRENTWOOD STAIR RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761122809",
            "telephone_number": "817-457-4078",
            "fax_number": "817-446-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF C JENKINS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-457-4078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodhaven General and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.