Individual provider Active NPI

R. Jason J. Hehr, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • North Charleston, SC
National Provider Identifier
1164510111
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4030 Issued in SC
Practice address
9221 University Blvd
Building D Suite 1a
North Charleston, SC 29406-9148
Phone
(843) 569-0904
Fax
(843) 569-0961
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4030 SC Primary

Addresses

Primary practice location

9221 University Blvd
Building D Suite 1a
North Charleston, SC 29406-9148

Mailing address

9221 University Blvd
Building D Suite 1a
North Charleston, SC 29406-9148
Phone (843) 569-0904

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 19, 2013 through Oct 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4030SCMDChiropractor
2015SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
R Jason J Hehr, DMD, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1164510111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 UNIVERSITY BLVD",
            "address_2": "BUILDING D SUITE 1A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069148",
            "telephone_number": "843-569-0904",
            "fax_number": "843-569-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 UNIVERSITY BLVD",
            "address_2": "BUILDING D SUITE 1A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069148",
            "telephone_number": "843-569-0904",
            "fax_number": "843-569-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEHR",
        "first_name": "R. JASON",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "4030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.