Individual provider Active NPI

Jared Taylor Houston, D.D.S.

  • General Practice Dentistry
  • Murphy, NC
National Provider Identifier
1114906450
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12590 Issued in NC
Practice address
96 Bill Hughes Ave
Murphy, NC 28906-3169
Phone
(828) 837-3577
NPI assigned
Jan 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12590 NC Primary

Addresses

Primary practice location

96 Bill Hughes Ave
Murphy, NC 28906-3169

Mailing address

96 Bill Hughes Ave
Murphy, NC 28906-3169
Phone (828) 837-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 14, 2015 through Dec 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22244TXMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mims and Woods Dentistry Partnership General Practice PastSince Sep 11, 2022 Accepting new patients
Houston, Vlosich & Short DDS Inc. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1114906450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 BILL HUGHES AVE",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063169",
            "telephone_number": "828-837-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 BILL HUGHES AVE",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063169",
            "telephone_number": "828-837-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "JARED",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2022-09-06",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.