Ralph Kenneth Jenke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10766 Issued in TX

Practice address

414 Tyler St
Livingston, TX 77351-2956

Phone

(936) 327-5757

Fax

(936) 327-3317

NPI assigned

Apr 24, 2007

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 TX

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 and National Provider Directory roles.

• Ralph K Jenke DDS & Associates PA

  • Dental Clinic/Center
  • Livingston, TX
  • NPI 1881810737
  NPD (past) Authorized official
• Tippit Dental Group Livingston

  • General Practice Dentistry
  • Livingston, TX
  • NPI 1740054741
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487873238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 TYLER ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512956",
            "telephone_number": "936-327-5757",
            "fax_number": "936-327-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 TYLER ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512956",
            "telephone_number": "936-327-5757",
            "fax_number": "936-327-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKE",
        "first_name": "RALPH",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Isaacs, RD
• Derrika Lyons Jackson, LPC I
• Carol L Jacobs, MD
• Kristian James, DR
• Jay a Workman Chiropractic Associates PC
• Jodi Jenkins
• Jerry D Wood
• Calandra Johnson
• Helen B Johnson
• Tiffany Dawn Jones-Lee, D.C.

• General Practice Dentistry in Livingston, TX
• Providers in Livingston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.