Julie Ann Jenks, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21820 Issued in OH

Practice address

257 E Jefferson St
New Lexington, OH 43764-1060

Phone

(740) 342-4156

Fax

(740) 342-4156

NPI assigned

Apr 26, 2007

Last updated

Nov 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Perry County Dental Group, Inc

  • General Practice Dentistry
  • New Lexington, OH
  • NPI 1790958635
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1619197456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 SALT LICK TWP ROAD 191",
            "city": "SHAWNEE",
            "state": "OH",
            "postal_code": "43782",
            "telephone_number": "740-342-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E JEFFERSON ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641060",
            "telephone_number": "740-342-4156",
            "fax_number": "740-342-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKS",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JDC Medical Inc
• JDS Medical Inc
• JDS Meical Inc
• Jeffrey J. Haggenjos, D.O., Inc
• Jeffrey J. Haggenjos, D.O., Inc
• Samantha L Jerles
• Heather Nichole Jewell
• John L Johnston, LPCC
• Roberta Kay Joy, COTA/L
• Ashley N Jungling, COTA/L

• General Practice Dentistry in New Lexington, OH
• Providers in New Lexington, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.