Active NPI
Dacia Jenkins
- Massage Therapist
- Ahoskie, NC
National Provider Identifier
1740099712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20172
- Practice address
- 402 Main St E
Ahoskie, NC 27910-3422 - Phone
- (252) 301-1521
- NPI assigned
- Jan 4, 2025
- Last updated
- Jan 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 20172 | NC | Primary |
Addresses
Primary practice location
402 Main St E
Ahoskie, NC 27910-3422
Mailing address
402 Main St E
Ahoskie, NC 27910-3422
Phone (252) 301-1521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20172 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735948800000",
"number": "1740099712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 MAIN ST E",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103422",
"telephone_number": "252-301-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 MAIN ST E",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103422",
"telephone_number": "252-301-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "DACIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-04",
"last_updated": "2025-01-04",
"certification_date": "2025-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "20172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ahoskie, NC
- Integrated Family Services PLLC
- Integrated Family Services, PLLC
- Integrated Family Services, PLLC
- Integrated Family Services, PLLC
- 03Diana Wright James, BACHELOR IN SCIENCE
- Kim Yvonne Jenkins, MSW,P-LCSW
- JK2C, LLC (Ahoskie Treatment Center)
- Angela Jones, N.P
- Colin D Jones, M.D.
- Jamande Amin Jones, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.