Cedar Bluff Family and Cosmetic Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CEDAR BLUFF FAMILY AND COSMETIC DENTISTRY PA

Practice address

634 B Fairview Rd
Suite 1
Simpsonville, SC 29860

Phone

(864) 962-6787

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Jeremy R BayerNPI 1346325602

Title

President

Phone

(864) 962-6787

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy R Bayer, D.D.S.

  • General Practice Dentistry
  • Simpsonville, SC
  • NPI 1346325602
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1609086149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634B FAIRVIEW RD STE 1",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806700",
            "telephone_number": "864-962-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 B FAIRVIEW RD",
            "address_2": "SUITE 1",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29860",
            "telephone_number": "864-962-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR BLUFF FAMILY AND COSMETIC DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-962-6787"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Carpenter, PHD, BCBA-D
• Amanda Hicks Carson
• Marquetta Denise Cason
• Regina A. Castel, M.D.
• Banks Raleigh Cates III, M.D.
• James P Ceglie, CO,CPED
• Celestial Midwifery Services LLC
• Cep America LLC
• Christopher Michael Chambers, PHARM.D
• Zoe Channel

• General Practice Dentistry in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.