Kevin D Jennings, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6444 Issued in VA

Practice address

211 Providence Rd
Suite 11
Chesapeake, VA 23325-4687

Phone

(757) 523-9002

Fax

(757) 523-9005

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

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

Locations

Interoperability endpoints

• Direct secure messaging: kevin.jennings@hrchc.eclinicaldirectplus.com

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.

• Portsmouth Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, VA
  • NPI 1134199193
  Medicare reassignment NPD
• Kevin D. Jennings DDS, LLC

  • Point of Service
  • Chesapeake, VA
  • NPI 1669650289
  NPD (past) Authorized official
• Portsmouth Community Health Center Inc

  dba Little Creek Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1144604877
  NPD
• Portsmouth Community Health Center Inc

  dba East Ocean View

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1871848184
  NPD

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1669462941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PROVIDENCE RD",
            "address_2": "SUITE 11",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233254687",
            "telephone_number": "757-523-9002",
            "fax_number": "757-523-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PROVIDENCE RD",
            "address_2": "SUITE 11",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233254687",
            "telephone_number": "757-523-9002",
            "fax_number": "757-523-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "831824",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006147",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF VA",
            "identifier": "6444",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "028603",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005596256",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie D Jenkins
• Joyce Renetta Jenkins, LCSW, CSAC
• Karen Jenkins, PHARMD
• Jantara Kenay Jennette
• Amy Jennings
• Jerlin Podiatry LLC
• Erin A Jerlin, D.P.M
• Amanda McBride Jernigan, MPA, PA-C
• Athena Sentara Jernigan
• Jerome M. Parsons, M.D., P.C.

• General Practice Dentistry in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.