Active NPI
Robert E. Jepko, D.D.S.
- Endodontics
- Burlington, NC
National Provider Identifier
1598849390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 5924
- Practice address
- 1155 Huffman Mill Rd
Burlington, NC 27215-8862 - Phone
- (336) 586-9696
- Fax
- (336) 538-4972
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 5924 | NC | Primary |
Addresses
Primary practice location
1155 Huffman Mill Rd
Burlington, NC 27215-8862
Mailing address
1155 Huffman Mill Rd
Burlington, NC 27215-8862
Phone (336) 586-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8994544 | Medicaid | NC |
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 |
|---|---|---|---|
| 5924 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert E. Jepko D.D.S., PA | Endodontics | 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.
-
- Endodontics
- Burlington, NC
- NPI 1104900943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598849390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 HUFFMAN MILL RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158862",
"telephone_number": "336-586-9696",
"fax_number": "336-538-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 HUFFMAN MILL RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158862",
"telephone_number": "336-586-9696",
"fax_number": "336-538-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEPKO",
"first_name": "ROBERT",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NC",
"license": "5924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8994544",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, 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.