NOLAN JENKINS (NPI# 1124456363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124456363 |
| Entity Type | Individual |
| Full Name | NOLAN JENKINS |
| Credential | D.D.S. |
| Practice Address |
602 W University Ave Urbana IL 61801-2530 |
| Mailing Address |
1070 Baytowne Dr Apt 34 Champaign IL 61822-7931 |
| Practice Telephone | 2173833280 |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 018001888 | IL | Dental Providers |
| Street Address |
602 W UNIVERSITY AVE |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194016 | Michael Shane Hennesy | Obstetrics & Gynecology | 602 W University Ave, Urbana, IL 61801-2530 | 2005-09-15 |
| 1265043996 | Brett E Smith | Pharmacist | 602 W University Ave, Urbana, IL 61801-2530 | 2020-08-14 |
| 1457753337 | Caroline Hudoba | Pharmacist | 602 W University Ave, Urbana, IL 61801-2530 | 2014-09-22 |
| 1093147043 | Stephanie Freeman | Nurse Anesthetist, Certified Registered | 602 W University Ave, Urbana, IL 61801-2530 | 2013-08-01 |
| 1376988949 | Vanadhi Kannan | Nurse Anesthetist, Certified Registered | 602 W University Ave, Urbana, IL 61801-2530 | 2013-05-08 |
| 1336482025 | Carle Health Care Incorporated | Family Medicine | 602 W University Ave, Urbana, IL 61801-2530 | 2013-04-01 |
| 1427397884 | Hannah M Balow | Nurse Practitioner | 602 W University Ave, Urbana, IL 61801-2530 | 2013-02-05 |
| 1427309020 | Kathleen Voelker | Nurse Practitioner | 602 W University Ave, Urbana, IL 61801-2530 | 2012-09-24 |
| 1144575598 | Nathan V Mcclelland | Nurse Anesthetist, Certified Registered | 602 W University Ave, Urbana, IL 61801-2530 | 2012-07-20 |
| 1902189608 | Janet S Roadcap | Pharmacist | 602 W University Ave, Urbana, IL 61801-2530 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517426 | Illini Smiles Dental Care P.C. | Dentist | 1812 Philo Rd, Urbana, IL 61802-6016 | 2019-06-20 |
| 1467574368 | Kirk W. Noraian, D.d.s., M.s., P.C. | Dentist | 2020 S Philo Rd, Urbana, IL 61802-8006 | 2007-04-04 |
| 1497887434 | John Barry Howell | Dentist | 1209 E Colorado Ave, Urbana, IL 61801-6392 | 2007-03-12 |
| 1215020938 | Richard D. Dietz, Dds Inc. | Dentist | 314 Patrick Avenue, Urbana, OH 43078 | 2006-10-02 |
| 1598771321 | Champaign Dental Group, Inc. | Dentist | 139 Patrick Ave, Urbana, OH 43078-2123 | 2006-08-01 |
| 1992798177 | Am Bauer Dds & Jt Beck Dds & Associates, LLC | Dentist | 848 Scioto St, Urbana, OH 43078-2255 | 2005-08-23 |
| 1255853446 | Nam Hoang | Dentist | 611 W Park St, Urbana, IL 61801-2529 | 2017-07-10 |
| 1093172744 | Benjamin Edward Schaefer | Dentist | 611 W Park St, Urbana, IL 61801-2529 | 2016-01-26 |
| 1144611518 | Kile Dental Associates, LLC | Dentist | 1052 S Main St, Urbana, OH 43078-2581 | 2015-02-06 |
| 1417361700 | Leah B Davis | Dentist | 1209 E Colorado Ave, Urbana, IL 61801-6392 | 2014-06-16 |
| Find all providers in URBANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.