Active NPI
Julie Anastasia Jenks, D.D.S., M.S., M.P.H.
- Pediatric Dentistry
- Los Angeles, CA
National Provider Identifier
1801046883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 43612
- Practice address
- 925 W 34TH St
Los Angeles, CA 90089-0058 - Phone
- (213) 740-0412
- NPI assigned
- Sep 25, 2008
- Last updated
- Sep 25, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 43612 | CA | Primary |
Addresses
Primary practice location
925 W 34TH St
Los Angeles, CA 90089-0058
Mailing address
925 W 34TH St
Los Angeles, CA 90089-0058
Phone (213) 740-0412
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43612 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1801046883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 W 34TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890058",
"telephone_number": "213-740-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 W 34TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890058",
"telephone_number": "213-740-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKS",
"first_name": "JULIE",
"middle_name": "ANASTASIA",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "43612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- La Niece Jenkins
- Marcus Jenkins
- Nathan Jenkins
- Tamkhiet Thanh-Ho Jenkins
- Tanisha Diane Jenkins
- Jenna Marker Child and Family Therapy Corporation (Marker Mental Health)
- Jenna Richardson Licensed Clinical Social Worker Inc. (Reason Being Therapy Inc.)
- Richard Lester Stephen Jennelle, M.D.
- Marcie Debra Jenner, PHD, MFT
- Jennifer Ahdout MD, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.