Jenkins Arizona Dental Partners PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JENKINS ARIZONA DENTAL PARTNERS PC

Practice address

18275 N 59TH Ave # D-120
Glendale, AZ 85308-1260

Phone

(602) 973-7204

Fax

(602) 943-1534

NPI assigned

Nov 30, 2020

Organization subpart

Yes

Parent organization

SIGNATURE DENTAL PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Melody Bennion

Title

Senior Integrations Specialist

Phone

(480) 234-8490

Specialties & licenses 1

Addresses

Part of

Signature Dental Partners LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Signature Dental Partners LLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1699308866
  NPPES parent name

Practitioners 2

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.

• Brittany Leigh Amor, DDS

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1043701899
  NPD (past)
• Frederick T Wood, D.D.S.

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1790833135
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1750986709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 44TH ST STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087622",
            "telephone_number": "480-234-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE # D-120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-973-7204",
            "fax_number": "602-943-1534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 S McClintock Dr Ste 117",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833449",
            "country_code": "US",
            "telephone_number": "480-839-0433",
            "fax_number": "480-839-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENKINS ARIZONA DENTAL PARTNERS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "SENIOR INTEGRATIONS SPECIALIST",
        "authorized_official_telephone_number": "480-234-8490"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JD Lifesolution, LLC
• JDH Chiropractic Inc (Haggard Chiropractic)
• Corinne E Jedynak-Bell, D.O.
• Jeffrey D. Laufenberg D.C., P.C.
• Jencare Counseling and Community Services LLC (Jencare Counseling)
• David William Jenkins, DPM
• Evelin A Jenkins, RN
• Jaqueline Lebaron Jenkins, MS
• Nepheteria Jenkins
• Jennifer Fineberg DDS PC

• Dental Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.