William Robert Jennings, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18962 Issued in TX

Practice address

209 W 8TH St
Tyler, TX 75701-4102

Phone

(903) 597-3940

Fax

(903) 526-2631

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Argyle Family Dentistry

  • Dental Clinic/Center
  • Argyle, TX
  • NPI 1205492444
  NPD (past) Authorized official
• FMD Associates

  • General Practice Dentistry
  • Flower Mound, TX
  • NPI 1720226111
  NPD (past) Authorized official
• Huntsville Family Dental

  • General Practice Dentistry
  • Huntsville, TX
  • NPI 1891359725
  NPD (past) Authorized official
• Longview Family Dental II

  • Dental Clinic/Center
  • Longview, TX
  • NPI 1598322463
  NPD (past) Authorized official
• Robby Jennings Dental

  • Dentist
  • Tyler, TX
  • NPI 1255519575
  NPD (past) Authorized official
• Robby Jennings Dentistry PLLC

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1972812667
  NPD (past) Authorized official
• Stone Creek Dental PLLC

  • Dentist
  • Denton, TX
  • NPI 1891973111
  NPD (past) Authorized official
• Flint Dental Group

  • Dental Clinic/Center
  • Flint, TX
  • NPI 1407460975
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902829070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 LAZY CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071554",
            "telephone_number": "903-565-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 8TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014102",
            "telephone_number": "903-597-3940",
            "fax_number": "903-526-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jenkins, APRN-FNP-C
• Tammy Jenkins
• Carolyn Gerhardt Jenks, D.O.
• Jennifer Jennings
• Katherine Ann Jennings, FNP-C
• Jens Langsjoen MD PLLC
• Burkitt W Jensen, MD
• Jerrod Odette Dental PLLC
• Jerry S Putman MD
• Jessica Thompson, LCSW, LLC

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.