Active NPI
William Scott Jenkins, DMD, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Lexington, KY
National Provider Identifier
1437177722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 774
- Practice address
- 216 Fountain CT
Suite 110
Lexington, KY 40509-1888 - Phone
- (859) 264-1898
- Fax
- (859) 685-0110
- NPI assigned
- Jul 17, 2006
- Last updated
- Sep 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7606 | KY | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 774 | KY | Primary |
Addresses
Primary practice location
216 Fountain CT
Suite 110
Lexington, KY 40509-1888
Mailing address
3140 Warren Wood Wynd
Lexington, KY 40502
Phone (859) 276-4041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60003928 | Medicaid | KY | |
| 64120793 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 26, 2014 through Mar 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 774 | KY | MD | Mental Health Counselor |
| 7606 | KY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins & Morrow PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for oral & mallofacial surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Lexington, KY
- NPI 1245432798
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1437177722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 WARREN WOOD WYND",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40502",
"telephone_number": "859-276-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 FOUNTAIN CT",
"address_2": "SUITE 110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091888",
"telephone_number": "859-264-1898",
"fax_number": "859-685-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "WILLIAM",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DMD, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "7606",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "KY",
"license": "774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60003928",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64120793",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.