JLRL, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JLRL, LLC

Practice address

716 First Street
Cleveland, MS 38732

Phone

(662) 843-2955

Fax

(662) 843-2957

NPI assigned

Apr 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jason Matthew Jennings, DMDNPI 1598926081

Title

Dentist/Owner

Phone

(662) 843-2955

Specialties & licenses 1

Addresses

Other names 1

• Jennings Family Dental Doing business as

Locations

Practitioners 2

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

• Jason Matthew Jennings, DMD

  • Dentist
  • Cleveland, MS
  • NPI 1598926081
  NPD (past) Authorized official
• Ashlyn Myers De Regt, DMD

  • General Practice Dentistry
  • Cleveland, MS
  • NPI 1639863590
  NPD (past)

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1700029675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 FIRST STREET",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-843-2955",
            "fax_number": "662-843-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 FIRST STREET",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-843-2955",
            "fax_number": "662-843-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLRL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "662-843-2955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennings Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacarolyn Hospice & Palliative SVC
• James R. Taylor, D.M.D., P.C.
• Carrie Janous, CFNP
• Lisa Sherrill Jenkins, SLP
• Jason Matthew Jennings, DMD
• Brandi L Joel
• Clarence Johnson, CCC-SLP
• Daryl Lance Johnson, D.M.D.
• Christian Johnston
• Courtney Hong Johnston, PHARM D

• General Practice Dentistry in Cleveland, MS
• Providers in Cleveland, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.