Organization Active NPI

Chet Jenkins III PC

  • Dentist
  • Kirkland, WA
National Provider Identifier
1487597928
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chet Jenkins III PC2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.