Active NPI
Chet Jenkins III PC
- Dentist
- Kirkland, WA
National Provider Identifier
1487597928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- CHET JENKINS III PC
- Practice address
- 13611 100TH Ave NE
Kirkland, WA 98034-5234 - Phone
- (425) 380-4661
- NPI assigned
- Apr 10, 2026
- Organization subpart
- Yes
- Parent organization
- SIGNATURE DENTAL PARTNERS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melody Bennion
- Title
- VP of Training and Integrations
- Phone
- (480) 234-8490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
13611 100TH Ave NE
Kirkland, WA 98034-5234
Mailing address
410 N 44TH St Ste 600
Phoenix, AZ 85008-7616
Phone (480) 234-8490
Other names 1
- Juanita Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Chet Jenkins III PC
- Part of
- Signature Dental Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Seattle, WA
- NPI 1023753548
Locations
13611 100th Ave NE
Kirkland, WA 98034
Phone (425) 380-4661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775779200000",
"number": "1487597928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N 44TH ST STE 600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850087616",
"telephone_number": "480-234-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13611 100TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980345234",
"telephone_number": "425-380-4661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHET JENKINS III PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
"enumeration_date": "2026-04-10",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A",
"authorized_official_last_name": "BENNION",
"authorized_official_first_name": "MELODY",
"authorized_official_title_or_position": "VP OF TRAINING AND INTEGRATIONS",
"authorized_official_telephone_number": "480-234-8490"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Juanita Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.