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JOHN GRANVILLE JENKINS DDS
NPI 1114097144
Dentist in Lakeport, CA

Active since November 08, 2006PECOS Enrolled
5335 LAKESHORE BLVD, LAKEPORT, CA 95453(707) 263-0196(707) 263-1439 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Granville Jenkins Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN GRANVILLE JENKINS DDS (NPI 1114097144) is an individual dentist in Lakeport, California, licensed in California (25810) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114097144
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHN GRANVILLE JENKINSCredential: DDS
Location Address5335 LAKESHORE BLVDLakeport, CA 95453-6123
Mailing Address5335 Lakeshore BlvdLakeport, CA 95453-6123 · (707) 263-0196 · Fax (707) 263-1439
Phone(707) 263-0196
Fax(707) 263-1439
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114097144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 25810
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5335 LAKESHORE BLVD, Lakeport, CA 95453
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Granville Jenkins Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA NGO DDS
Dentist (General Practice)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
DR. CHARLES JOSEPH SEAGE M.D.
Internal Medicine
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 472-4596
JENNY SENFF FNP, RN
Registered Nurse
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
KAREN J KENNEDY PA
Physician Assistant (Medical)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
MRS. IRINNA ANDRIANARIJAONA FNP
Nurse Practitioner (Family)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
DR. JAVIER ARROYO D.C.
Chiropractor
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
DR. LINDA WASSERMAN MD
Pediatrics
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Jenkins's NPI number?

The NPI number for John Jenkins is 1114097144. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is John Jenkins located?

John Jenkins practices at 5335 Lakeshore Blvd, Lakeport, CA 95453. The listed phone number is (707) 263-0196.

What is John Jenkins's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is John Jenkins enrolled in Medicare?

Yes. John Jenkins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Jenkins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.