Active NPI
Jeremy Robert Gies, D.M.D.
- Dentist
- Beaufort, SC
National Provider Identifier
1013148527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7391614-9921
- Practice address
- 1 Pinckney Blvd
Beaufort, SC 29902-6122 - Phone
- (843) 228-3500
- NPI assigned
- Jul 31, 2009
- Last updated
- Jul 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7391614-9921 | UT | Primary |
Addresses
Primary practice location
1 Pinckney Blvd
Beaufort, SC 29902-6122
Mailing address
1 Pinckney Blvd
PO Box 6216a
Beaufort, SC 29902-6122
Phone (843) 228-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 19, 2022 through Sep 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7391614-9921 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Oral & Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Orlando, FL
- NPI 1053365338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1013148527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PINCKNEY BLVD",
"address_2": "PO BOX 6216A",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026122",
"telephone_number": "843-228-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PINCKNEY BLVD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026122",
"telephone_number": "843-228-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIES",
"first_name": "JEREMY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-31",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "7391614-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.