David Jenkins

Primary specialty

DentistTaxonomy code 122300000X

License

DN015433 Issued in GA

Practice address

2714 Highway 155
Locust Grove, GA 30248-2401

Phone

(470) 502-0820

NPI assigned

Jun 9, 2017

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Smile Parlor Barnesville LLC

  • Dentist
  • Barnesville, GA
  • NPI 1598445355
  NPD Authorized official
• Smile Parlor LLC

  • Dental Clinic/Center
  • Locust Grove, GA
  • NPI 1316581283
  NPD Authorized official
• Twiilight Dental

  • Dental Clinic/Center
  • Columbus, GA
  • NPI 1801565916
  NPD Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1407385669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 HIGHWAY 155",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482401",
            "telephone_number": "470-502-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 HIGHWAY 155",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482401",
            "telephone_number": "470-502-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Houston Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310883904",
            "country_code": "US",
            "telephone_number": "478-922-2910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 N Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691743",
            "country_code": "US",
            "telephone_number": "770-631-5062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingles Markets Inc
• Sherley Laurin Jackson, M.S., CCC-SLP
• Stephanie Brazeal Jackson, NP
• Yebu Yaye Jalloh Charles, APRN, NP
• Servio Leconte Jean Baptiste
• Jennifer Nicole Jenkins, PMHNP
• Jep Healthcare Inc.
• Lorie N. Johnson, MD
• Makeesa Johnson, LPC009493
• Cynthia Alice Jones

• Dentist in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.