Individual provider Active NPI

Jessica Boomhower, DMD

  • Dentist
  • Huntersville, NC
National Provider Identifier
1386532646
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14287 Issued in NC
Practice address
14013 N Creek Village Dr Ste 100
Huntersville, NC 28078-4018
Phone
(980) 306-2150
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14287 NC Primary

Addresses

Primary practice location

14013 N Creek Village Dr Ste 100
Huntersville, NC 28078-4018

Mailing address

9921 Holly Center Dr Apt 2
Huntersville, NC 28078-5120
Phone (407) 446-8499

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

LicenseStateTypeSpecialty
14287NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
K. Jasinski, D.M.D., P.C. CurrentSince Jun 29, 2025 Accepting new patients

Locations

14013 N Creek Village Dr
Ste 100
Huntersville, NC 28078
Phone (864) 541-2342

Organizations & group practices 1

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1386532646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 HOLLY CENTER DR APT 2",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785120",
            "telephone_number": "407-446-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14013 N CREEK VILLAGE DR STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784018",
            "telephone_number": "980-306-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMHOWER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.