Active NPI
Melanie Jean Jenkins, DMD
- General Practice Dentistry
- University Place, WA
National Provider Identifier
1801381801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60863147
- Practice address
- 7210 40TH St W Ste 320
University Place, WA 98466-4319 - Phone
- (253) 565-1145
- NPI assigned
- Jun 22, 2018
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60863147 | WA | Primary |
Addresses
Primary practice location
7210 40TH St W Ste 320
University Place, WA 98466-4319
Mailing address
8211 118TH Street CT SW
Lakewood, WA 98498-5531
Phone (253) 985-0503
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 |
|---|---|---|---|
| DE60863147 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1801381801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8211 118TH STREET CT SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984985531",
"telephone_number": "253-985-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7210 40TH ST W STE 320",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664319",
"telephone_number": "253-565-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MELANIE",
"middle_name": "JEAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60863147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.