Individual provider Active NPI

Jeremy R Bayer, D.D.S.

  • General Practice Dentistry
  • Simpsonville, SC
National Provider Identifier
1346325602
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4207 Issued in SC
Practice address
634B Fairview Rd Ste 1
Simpsonville, SC 29680-6700
Phone
(864) 962-6787
Fax
(864) 962-6794
NPI assigned
Oct 26, 2006
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 4207 SC Primary

Addresses

Primary practice location

634B Fairview Rd Ste 1
Simpsonville, SC 29680-6700

Mailing address

634B Fairview Rd Ste 1
Simpsonville, SC 29680-6700
Phone (864) 962-6787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615002018 SC Order and Referring Only - DentistPractitioner - Dentist 3274824628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4207SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Bluff Family and Cosmetic Dentistry PA General Practice CurrentSince Apr 10, 2007 Accepting new patients
Skylyn Dental Associates LLC PastSince Mar 16, 2020 Accepting new patients
John F Dunbar Jr DMD PA General Practice Past Accepting new patients

Locations

634B Fairview Rd
Ste 1
Simpsonville, SC 29680
Phone (864) 962-6787

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1346325602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634B FAIRVIEW RD STE 1",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806700",
            "telephone_number": "864-962-6787",
            "fax_number": "864-962-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634B FAIRVIEW RD STE 1",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806700",
            "telephone_number": "864-962-6787",
            "fax_number": "864-962-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYER",
        "first_name": "JEREMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.