Active NPI
Jessica Boomhower, DMD
- Dentist
- Huntersville, NC
National Provider Identifier
1386532646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14287
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14287 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Jasinski, D.M.D., P.C. | Current | 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.
-
dba Dental Care at North Creek
- General Practice Dentistry
- Huntersville, NC
- NPI 1649964008
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.