Individual provider Active NPI

Ryan Michael Jenkins, DMD

  • Periodontics
  • Littleton, CO
National Provider Identifier
1528342094
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
00202688 Issued in CO
Practice address
26 W Dry Creek Cir Ste 540
Littleton, CO 80120-8066
Phone
(303) 797-1211
NPI assigned
Oct 3, 2011
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 00202688 CO Primary

Addresses

Primary practice location

26 W Dry Creek Cir Ste 540
Littleton, CO 80120-8066

Mailing address

138 Whitehaven Cir
Highlands Ranch, CO 80129-6676
Phone (210) 508-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20230417002579 CO Order and Referring Only - DentistPractitioner - Dentist 4880069244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00202688COMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Markthurber DDS MSD PC Periodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1528342094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WHITEHAVEN CIR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296676",
            "telephone_number": "210-508-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR STE 540",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208066",
            "telephone_number": "303-797-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "00202688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.