NPIMap

Organization Active NPI

Jer LLC

  • Dental Clinic/Center
  • Memphis, TN
National Provider Identifier
1326434085
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS0000007994 Issued in TN
Legal business name
JER LLC
Practice address
99 S Main St
Memphis, TN 38103-2910
Phone
(901) 527-0716
Fax
(901) 527-0718
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Jodi E Rump, DDSNPI 1376686899
Title
Owner
Phone
(901) 527-0716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS0000007994 TN Primary

Addresses

Primary practice location

99 S Main St
Memphis, TN 38103-2910

Mailing address

99 S Main St
Memphis, TN 38103-2910
Phone (901) 527-0716

Other names 1

  • MAIN STREET DENTAL Other name

National Provider Directory

National Provider Directory

Locations

99 S Main St
Memphis, TN 38103
Phone (901) 527-0716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1326434085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032910",
            "telephone_number": "901-527-0716",
            "fax_number": "901-527-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032910",
            "telephone_number": "901-527-0716",
            "fax_number": "901-527-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "RUMP",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-527-0716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS0000007994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.