Individual provider Active NPI

Aisha Nicole Jenkins, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1942042569
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7720 Issued in LA
Practice address
9900 Lake Forest Blvd Ste F
New Orleans, LA 70127-2609
Phone
(504) 620-0500
NPI assigned
Jun 12, 2024
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7720 LA Primary

Addresses

Primary practice location

9900 Lake Forest Blvd Ste F
New Orleans, LA 70127-2609

Mailing address

515 Mowbray Arch
Danville, VA 24541-3328
Phone (434) 429-2118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20250930002006 LA Practitioner - Dentist 3678079647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 13038
New Orleans, LA 70185-3038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers Current Accepting new patients
Marillac Community Health Centers CurrentSince Sep 8, 2025 Accepting new patients
Marillac Community Health Centers CurrentSince Sep 8, 2025 Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients

Locations

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 482-2080

1030 Lesseps St
New Orleans, LA 70117
Phone (504) 207-6287

100 Warrington Dr
New Orleans, LA 70122

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1942042569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MOWBRAY ARCH",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245413328",
            "telephone_number": "434-429-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 LAKE FOREST BLVD STE F",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272609",
            "telephone_number": "504-620-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "AISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.