Chet Jenkins IV PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHET JENKINS IV PC

Doing business as

Costa Verde Dental

Practice address

1320 Harrison Ave NW
Olympia, WA 98502-5349

Phone

(360) 943-5551

NPI assigned

Apr 4, 2025

Last updated

Apr 4, 2025By the provider in NPPES

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

Director of Integrations

Phone

(480) 234-8490

Specialties & licenses 1

Addresses

Other names 1

• Costa Verde Dental Doing business as

Part of

Signature Dental Partners LLC

Practitioners 1

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.

• Angel Agustin Vega, D.D.S

  • Dentist
  • Olympia, WA
  • NPI 1154349686
  NPD (past)

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1881498004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 44TH ST STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087616",
            "telephone_number": "480-234-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HARRISON AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025349",
            "telephone_number": "360-943-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHET JENKINS IV PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "480-234-8490"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costa Verde Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Cheyenne Cheney
• Victoria Chenoweth, PT
• Craig Ernest Cheple, D.C.
• Sundar Venkata Cherukuri, DO
• Linda Jean Chesnut, LMP
• Chet Jenkins PC (Woodland Trails Dentistry)
• Star Chev
• Wendy Chev
• Abhishek Chhabra, M.B.B.S
• Amanda Chick

• Dental Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.