Adam Christopher Jenkins, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12198 Issued in NC

Practice address

7028 Wrightsville Ave
Wilmington, NC 28403-3655

Phone

(910) 256-8486

NPI assigned

May 11, 2021

Last updated

Jul 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deana C Cook, DDS, Ms, PLLC

  • Periodontics
  • Wilmington, NC
  • NPI 1497160212
  NPD (past)
• Phyllis B. Cook, DDS, PA

  • Periodontics
  • Wilmington, NC
  • NPI 1790812063
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1477137974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 ATRIUM CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284050201",
            "telephone_number": "803-920-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7028 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033655",
            "telephone_number": "910-256-8486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Bee Street",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294250001",
            "country_code": "US",
            "telephone_number": "843-792-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Magnolia Village Way Ste 110",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284519464",
            "country_code": "US",
            "telephone_number": "910-256-8486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ADAM",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9239",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "9239",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "12198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B. Pupp
• James Jeffries
• Michelle Jelley, OTR/L
• Robin Elizabeth Jendrazak, OPA-C
• Jenifer Phelps, PLLC
• Cynthia Ann Jenkins, CRC, NCLPC
• Jennifer Lynn Jenkins, PA-C
• Leah Jenkins, PHD,, LPC, NCC
• Madelyn Jenkins
• Melanie Jenkins, BCBA

• Periodontics in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.