NPIMap

Organization Active NPI

Chet Jenkins PC

  • General Practice Dentistry
  • Puyallup, WA
National Provider Identifier
1548106925
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHET JENKINS PC
Practice address
2903 E Main
Puyallup, WA 98372-3169
Phone
(253) 845-9507
NPI assigned
Apr 27, 2026
Organization subpart
Yes
Parent organization
SIGNATURE DENTAL PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 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
Phone
(480) 234-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2903 E Main
Puyallup, WA 98372-3169

Mailing address

410 N 44TH St Ste 600
Phoenix, AZ 85008-7616
Phone (480) 234-8490

Other names 1

  • Northwest Dental Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chet Jenkins PC7 organizations share this tax ID, including this one
Part of
Signature Dental Partners LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1548106925",
    "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": "2903 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723169",
            "telephone_number": "253-845-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHET JENKINS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "VP OF TRAINING",
        "authorized_official_telephone_number": "480-234-8490"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Dental Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.