Active NPI
Martin Wang Jenkins, DDS
- Dentist
- St James City, FL
National Provider Identifier
1740514413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412645
- Practice address
- 8359 Stringfellow Rd
St James City, FL 33956-2910 - Phone
- (239) 344-2393
- Fax
- (239) 283-9276
- NPI assigned
- Sep 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18874 | FL | |
| Dentist | 122300000X | 0401412645 | VA | Primary |
Addresses
Primary practice location
8359 Stringfellow Rd
St James City, FL 33956-2910
Mailing address
PO Box 1357
Fort Myers, FL 33902-1357
Phone (239) 278-3600
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 |
|---|---|---|---|
| DN18874 | FL | MD | Dentist |
| 0401412645 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1740514413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1357",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339021357",
"telephone_number": "239-278-3600",
"fax_number": "239-332-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 STRINGFELLOW RD",
"city": "ST JAMES CITY",
"state": "FL",
"postal_code": "339562910",
"telephone_number": "239-344-2393",
"fax_number": "239-283-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MARTIN",
"middle_name": "WANG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-28",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18874",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St James City, FL
- Family Health Centers of Southwest Florida, Inc.
- Genevieves Investment Inc (customized rehab)
- Rathinamala George
- Carol Ann Hess, MD
- Holiday CVS LLC (CVS Pharmacy #03274)
- Lou Mauney DO Inc
- Francisco S Marasigan, MD
- Stephanie Anne McRae, DDS
- Millennium Physician Group LLC
- Pine Island Wellness at Home LLC (Wellness at Home Senior Concierge Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.