NPIMap

Organization Active NPI

Designing Smiles PSC

  • General Practice Dentistry
  • Sellersburg, IN
National Provider Identifier
1689773343
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009023 Issued in IN
Legal business name
DESIGNING SMILES PSC
Practice address
7709 Highway 311
Sellersburg, IN 47172
Phone
(812) 246-3386
Fax
(812) 246-1292
NPI assigned
Sep 21, 2006
Last updated
Apr 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Dr. Dennis Jerome Jenkins, DDSNPI 1679700124
Title
Owner President
Phone
(812) 246-3386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009023 IN Primary

Addresses

Primary practice location

7709 Highway 311
Sellersburg, IN 47172

Mailing address

7709 Highway 311
Sellersburg, IN 47172
Phone (812) 246-3386

Other identifiers 1

IdentifierTypeStateIssuer
12009023OtherINDENTIST LICENSE

Other names 1

  • Dennis J Jenkins DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

7709 Highway 311
Sellersburg, IN 47172
Phone (812) 246-3386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1689773343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 HIGHWAY 311",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "47172",
            "telephone_number": "812-246-3386",
            "fax_number": "812-246-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 HIGHWAY 311",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "47172",
            "telephone_number": "812-246-3386",
            "fax_number": "812-246-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNING SMILES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "812-246-3386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE",
            "identifier": "12009023",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis J Jenkins DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sellersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.