Jennifer Jinkins Bone, DDS
Individual provider Active NPI General Practice Dentistry · Kerrville, TX
NPI 1801005301 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801005301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 20500 (TX)
- Practice address
- 715 Hill Country Dr
Ste. 6
Kerrville, TX 78028-5965 - Phone
- (830) 257-7444
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160321001699 | TX | Order and Referring Only - Oral Surgery |
5799082624 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20500 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20500 | TX | Yes |
Addresses
Primary practice location
715 Hill Country Dr
Ste. 6
Kerrville, TX 78028-5965
Mailing address
715 Hill Country Dr
Ste. 6
Kerrville, TX 78028-5965
Phone (830) 257-7444
Other providers in Kerrville, TX
- Carrie Christine Blount
- Ryan Blue
- Boerne Just-4-Kids Therapy
- Hetty Kathleen Bogie
- Paige Bolen
- Michael R. Borchers
- Patrick Alan Boyle
- Nicovia Bradley
- Adam Branch
- Brandon Blaker O D P C
All providers in Kerrville, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.