Stephen H Jeran, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2699 Issued in WV

Practice address

61 S Kanawha St
Buckhannon, WV 26201-2601

Phone

(304) 472-3160

Fax

(304) 472-5729

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114015567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012601",
            "telephone_number": "304-472-3160",
            "fax_number": "304-472-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012601",
            "telephone_number": "304-472-3160",
            "fax_number": "304-472-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERAN",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Sue Jeffries
• Gabriella Jenab, PHARMD
• Janice Arlene Jenkins
• Spencer D Jenkins Jr., ATC
• Thomas Scott Jenks, CRNA
• Jerry N Black Surgical Suite
• Sheyenne Jett
• JK Marketing, LLC
• Johns, Conde & Malone, D.D.S., Inc.
• Stephen Smith Johns, DDS

• General Practice Dentistry in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.