Jamie Carolina Terrill, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2020026051 Issued in MO

Practice address

10049 Manchester Rd
Saint Louis, MO 63122-1825

Phone

(314) 671-4019

Fax

(314) 671-4018

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• M. Pratt, DDS, LLC

  • Pediatric Dentistry
  • Saint Louis, MO
  • NPI 1710539937
  NPD
• Skyview Pediatric Dentistry-GT

  • Dental Clinic/Center
  • Saint Louis, MO
  • NPI 1407749088
  NPD

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1396369757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10049 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221825",
            "telephone_number": "314-671-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221825",
            "telephone_number": "314-671-4019",
            "fax_number": "314-671-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 Jeffco Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630101409",
            "country_code": "US",
            "telephone_number": "636-287-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "JAMIE",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2020026051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnesia Faith Terrell, CDP, CADDCT, CST-P
• Leslie Marie Terrell, DO
• Lincoln Dale Henry Terrell, CNIM
• Wanda T Terrell, M.D.
• Christopher Dean Terrill, MD
• Kristen A. Terrill, MD
• Megan Elizabeth Terry Kelly, M.S.,CCC/A
• Amaris Terry
• Ashley Lauren Terry, MD
• Daniel Scott Terry, LPC

• Pediatric Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.