Jasmine R Elmore DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

09596 Issued in NC

Legal business name

JASMINE R ELMORE DDS PLLC

Practice address

2401 Wooten Blvd SW Ste F
Wilson, NC 27893-4464

Phone

(252) 291-4300

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Jasmine Elmore, DDS

Title

Owner/Dentist

Phone

(252) 291-4300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1508307539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE R ELMORE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "252-291-4300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "09596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932546157",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sopna E Jacob, MD
• Amanda H Janda, PA-C
• Krupa Jani, DMD
• Anita Burleson Jarrard, MSW, LCSW
• Nirav Manubhai Jasani, MD
• Jeremy Jeffers
• Jenkins Business Ventures LLC
• Carly Faye Tamisiea Jenkins
• JKV Inc.
• Johnson Atlantic Enterprises LLC

• Pediatric Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.