Individual provider Active NPI

Jeremiah Erwin Taylor, D.M.D

  • Dentist
  • Asheville, NC
National Provider Identifier
1386198562
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32128 Issued in TX
Practice address
2 Iris St
Asheville, NC 28803-2705
Phone
(828) 252-2791
NPI assigned
Aug 5, 2016
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12081 NC
Dentist 122300000X 32128 TX Primary

Addresses

Primary practice location

2 Iris St
Asheville, NC 28803-2705

Mailing address

2 Iris St
Asheville, NC 28803-2705
Phone (828) 252-2791

Other identifiers 1

IdentifierTypeStateIssuer
12081OtherNCNC DENTAL LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12081NCMDDentist
32128TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Care Northeast, PLLC Dentist PastSince May 28, 2023 Accepting new patients
Kommineni DDS PLLC PastSince Mar 21, 2021 Accepting new patients
Kevin T. Fox, DDS, PA PastSince Mar 21, 2021 Accepting new patients

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1386198562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 IRIS ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032705",
            "telephone_number": "828-252-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IRIS ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032705",
            "telephone_number": "828-252-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEREMIAH",
        "middle_name": "ERWIN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12081",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DENTAL LICENSE",
            "identifier": "12081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.