Douglas Jennings Dental Corporation LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DOUGLAS JENNINGS DENTAL CORPORATION LLC

Practice address

2700 Western Center Blvd Ste 128
Fort Worth, TX 76131-4300

Phone

(817) 847-1131

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Adrienne Jennings, DDS, MSNPI 1073630372

Title

Owner

Phone

(214) 476-8007

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Adrienne Douglas Jennings, D.D.S.

  • Dentist
  • Denton, TX
  • NPI 1073630372
  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1548914997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTERN CENTER BLVD STE 128",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314300",
            "telephone_number": "817-847-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTERN CENTER BLVD STE 128",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314300",
            "telephone_number": "817-847-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 S Hampshire St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "TX",
            "postal_code": "761791526",
            "country_code": "US",
            "telephone_number": "817-847-1131",
            "fax_number": "817-847-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOUGLAS JENNINGS DENTAL CORPORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-476-8007",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lee Doty Cash
• Nancy Anne Doublin, CPNP
• Michael Doud, LCDC
• Elizabeth Ann Dougherty, OTD, OTR
• Douglas D. Lorimer, M.D., P.a.
• Breeanca Douglas
• Gary Lee Douglas, MD
• Joshua Douglas, LMT
• Karla Daniela Douglas
• Shatina Douglas

• Clinical Medical Laboratory in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.