Organization Active NPI

Jeu Enterprises, Inc

  • Dentist
  • Memphis, TN
National Provider Identifier
1447547716
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS4555 Issued in TN
Legal business name
JEU ENTERPRISES, INC
Practice address
1799 S 3Rd St Ste B
Memphis, TN 38109-7711
Phone
(901) 774-9602
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Richard Jeu, D.D.S.NPI 1265517684
Title
President
Phone
(901) 219-7017

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS4555 TN Primary

Addresses

Primary practice location

1799 S 3Rd St Ste B
Memphis, TN 38109-7711

Mailing address

10018 National Club Dr
Collierville, TN 38017-9018
Phone (901) 219-7017

Other identifiers 2

IdentifierTypeStateIssuer
3225413MedicaidTN
1265517684OtherTNNPI

National Provider Directory

National Provider Directory

Locations

1799 S 3rd St
Ste B
Memphis, TN 38109
Phone (901) 774-9602

Practitioners & affiliated clinicians

Practitioners 1

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": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1447547716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10018 NATIONAL CLUB DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179018",
            "telephone_number": "901-219-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 S 3RD ST STE B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381097711",
            "telephone_number": "901-774-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEU ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "JEU",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-219-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS4555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225413",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265517684",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.