DR. SHANE ALAN JENKS D.M.D NPI 1679873434

NPI Information

  • NPI: 1679873434
  • Provider Name: DR. SHANE ALAN JENKS, D.M.D
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8291 N BOOTH AVE
    KANSAS CITY, MO
    ZIP 64158
  • Phone: (816) 728-2979

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NPI Details

DR. Shane Alan Jenks, D.M.D is a pediatric dentistry dentist in Kansas City, MO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Shane Alan Jenks, D.M.D NPI is 1679873434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8291 N BOOTH AVE
KANSAS CITY, MO
ZIP 64158-202
Phone: (816) 728-2979

The NPI 1679873434 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/27/2010 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry61352KANSASNo
21223P0221XDentistPediatric Dentistry2015004756MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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