Individual provider Active NPI

Jerry H. Teravest, D.D.S.

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1457488157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5882 Issued in NC
Practice address
2515 E NC Highway 54
Suite 2000
Durham, NC 27713-5263
Phone
(919) 544-6080
Fax
(919) 544-8252
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5882 NC Primary

Addresses

Primary practice location

2515 E NC Highway 54
Suite 2000
Durham, NC 27713-5263

Mailing address

PO Box 12301
Research Triangle Park, NC 27709-2301
Phone (919) 544-6080

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457488157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12301",
            "city": "RESEARCH TRIANGLE PARK",
            "state": "NC",
            "postal_code": "277092301",
            "telephone_number": "919-544-6080",
            "fax_number": "919-544-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E NC HIGHWAY 54",
            "address_2": "SUITE 2000",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135263",
            "telephone_number": "919-544-6080",
            "fax_number": "919-544-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAVEST",
        "first_name": "JERRY",
        "middle_name": "H.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.