Dr Montel R Jenkins DMD PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00004505 Issued in WA

Legal business name

DR MONTEL R JENKINS DMD PS

Practice address

212 Park Avenue North
Renton, WA 98057-5717

Phone

(425) 228-6780

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Montel R Jenkins, DMDNPI 1235252099

Title

President

Phone

(425) 228-6780

Specialties & licenses 1

Addresses

Practitioners 1

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

• Montel R Jenkins, DMD

  • Dentist
  • Renton, WA
  • NPI 1235252099
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578686325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PARK AVENUE NORTH",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575717",
            "telephone_number": "425-228-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PARK AVENUE NORTH",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575717",
            "telephone_number": "425-228-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MONTEL R JENKINS DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MONTEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-228-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00004505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle Dourte, LMP
• Shane G. Dowling, PA-C
• Kelsey Elizabeth Downing, ATC, MAT, LAT, CSCS
• Carlin Doyle, PA-C
• Dr Kremer Enterprise PLLC Dba Highlands Chiropractic (Highlands Chiropractic)
• Dr. Crowell, Dr. Nguyen & Associates, PLLC (Eyes on Sunset)
• Dr. Mark McDaniels
• Dr. Michelle G. Chang DMD PLLC
• Vera P Dragonchuk, M.A.
• Kirby A Drawbaugh, RPH

• Dental Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.