Active NPI
Keyanna A Jenkins, LD
- Denturist
- Eugene, OR
National Provider Identifier
1538464532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DT-DO-10138979
- Practice address
- 1241 Oak St
Eugene, OR 97401-3519 - Phone
- (541) 686-9897
- Fax
- (541) 485-3505
- NPI assigned
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DT-DO-10138979 | OR | Primary |
Addresses
Primary practice location
1241 Oak St
Eugene, OR 97401-3519
Mailing address
1610 Gem PL NE
Salem, OR 97301-2099
Phone (541) 686-9897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-DO-10138979 | OR | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holden Holdings PC | Denturist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1538464532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 GEM PL NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012099",
"telephone_number": "541-686-9897",
"fax_number": "541-485-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 OAK ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013519",
"telephone_number": "541-686-9897",
"fax_number": "541-485-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KEYANNA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "OR",
"license": "DT-DO-10138979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.