Organization Active NPI

Jeremy Jay Sewell DMD PC

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1386396331
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEREMY JAY SEWELL DMD PC
Practice address
29740 Rancho California Rd Ste 100
Temecula, CA 92591-5287
Phone
(951) 238-0209
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

Authorized official

Name
Dr. Jeremy Jay Sewell, DMDNPI 1215263892
Title
Owner/President
Phone
(951) 699-0700

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

29740 Rancho California Rd Ste 100
Temecula, CA 92591-5287

Mailing address

32449 Castle CT
Temecula, CA 92592-7110
Phone (951) 238-0209

National Provider Directory

National Provider Directory

Locations

29740 Rancho California Rd
Ste 100
Temecula, CA 92591
Phone (951) 238-0209

Practitioners & affiliated clinicians

Practitioners 2

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": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1386396331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32449 CASTLE CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925927110",
            "telephone_number": "951-238-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29740 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915287",
            "telephone_number": "951-238-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY JAY SEWELL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "951-699-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.