Active NPI
Jesse Woodrow McElveen Jr., DMD
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1568420933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2046
- Practice address
- 2039 N Main St
Summerville, SC 29483-7821 - Phone
- (843) 871-0433
- Fax
- (843) 871-0433
- NPI assigned
- May 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2046 | SC | Primary |
Addresses
Primary practice location
2039 N Main St
Summerville, SC 29483-7821
Mailing address
PO Box 1247
Summerville, SC 29484-1247
Phone (843) 871-0433
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z20460 | Medicaid | SC | |
| 157210 | Other | RI | BETTER HEALTH PLAN ID# |
| ZA9943 | Medicaid | SC | |
| 488858 | Other | SC | UNITED CONCORDIA ID# |
| ZA035 3 | Other | SC | BCBS SC ID# |
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 |
|---|---|---|---|
| 2046 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summer Dental, LLC | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Summerville, SC
- NPI 1144634288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568420933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1247",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294841247",
"telephone_number": "843-871-0433",
"fax_number": "843-871-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 N MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294837821",
"telephone_number": "843-871-0433",
"fax_number": "843-871-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELVEEN JR.",
"first_name": "JESSE",
"middle_name": "WOODROW",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "2046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z20460",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BETTER HEALTH PLAN ID#",
"identifier": "157210",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9943",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA ID#",
"identifier": "488858",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SC ID#",
"identifier": "ZA035 3",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.