Active NPI
Benjamin B Jeter
- General Practice Dentistry
- N Charleston, SC
National Provider Identifier
1306132006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7025
- Practice address
- 7535 Northside Dr
N Charleston, SC 29420-4211 - Phone
- (843) 797-3355
- Fax
- (843) 797-3641
- NPI assigned
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7025 | SC | Primary |
Addresses
Primary practice location
7535 Northside Dr
N Charleston, SC 29420-4211
Mailing address
7535 Northside Dr
N Charleston, SC 29420-4211
Phone (843) 797-3355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7025 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeter & Welch, a Partnership | Past | Accepting new patients | |
| Jeter & Welch Dentistry LLC | 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.
-
- Dentist
- N Charleston, SC
- NPI 1144516055
-
- Dentist
- N Charleston, SC
- NPI 1144486986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1306132006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7535 NORTHSIDE DR",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294204211",
"telephone_number": "843-797-3355",
"fax_number": "843-797-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 NORTHSIDE DR",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294204211",
"telephone_number": "843-797-3355",
"fax_number": "843-797-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "BENJAMIN",
"middle_name": "B",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "7025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.