Organization Active NPI

Stephanie Q Jenkins DDS PA

  • Dentist
  • Durham, NC
National Provider Identifier
1992783815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6714 Issued in NC
Legal business name
STEPHANIE Q JENKINS DDS PA
Practice address
5317 Highgate Dr
Suite 118
Durham, NC 27713-6622
Phone
(919) 361-0500
Fax
(919) 544-4990
NPI assigned
Jan 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephanie Jenkins, DDS PANPI 1053415554
Title
Dentist
Phone
(919) 361-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6714 NC Primary

Addresses

Primary practice location

5317 Highgate Dr
Suite 118
Durham, NC 27713-6622

Mailing address

5317 Highgate Dr
Suite 118
Durham, NC 27713-6622
Phone (919) 361-0500

Other names 1

  • Stephanie A Quick Former legal business name

National Provider Directory

National Provider Directory

Locations

5317 Highgate Dr
Ste 118
Durham, NC 27713
Phone (919) 361-0500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992783815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 HIGHGATE DR",
            "address_2": "SUITE 118",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136622",
            "telephone_number": "919-361-0500",
            "fax_number": "919-544-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 HIGHGATE DR",
            "address_2": "SUITE 118",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136622",
            "telephone_number": "919-361-0500",
            "fax_number": "919-544-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE Q JENKINS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-361-0500",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie A Quick",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.