Judith G. Jenkins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD1239 Issued in NM

Practice address

1035 Alto Street
Santa Fe, NM 87502-5395

Phone

(505) 984-5048

Fax

(505) 983-4751

NPI assigned

Dec 1, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NM

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

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679641260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5395",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875025395",
            "telephone_number": "505-984-5048",
            "fax_number": "505-983-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ALTO STREET",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875025395",
            "telephone_number": "505-984-5048",
            "fax_number": "505-983-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JUDITH",
        "middle_name": "G.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9175776",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE NUMBER",
            "identifier": "DD1239",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS.",
            "identifier": "1459740",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80341",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Arnold Jenison, M.D.
• Adrienne Jenkins, BSN, WHCNP
• Dale CR Jenkins, DDS
• Daniel Jenkins
• Francesca Jenkins
• William Chandler Jenkins Jr., LMHC
• Michele M Jenne, RN
• Jenni Laszlo Counseling LLC
• Jennifer Peres LCSW LLC
• Jennifer Rabinowitz Counseling LLC

• General Practice Dentistry in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.