Jennifer Creem, DMD MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3165 Issued in NH

Practice address

5 Hampton Rd
Exeter, NH 03833-4807

Phone

(603) 773-4900

Fax

(603) 775-7648

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Alene Creem Former name

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Physicians, LLC

  • Family Medicine Physician
  • Exeter, NH
  • NPI 1336330588

  Pediatric Dentistry

  Medicare reassignment NPD
• Lilac Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Exeter, NH
  • NPI 1659199891
  NPD Authorized official
• Core Physicians LLC

  dba Core Podiatry

  • Durable Medical Equipment & Medical Supplies
  • Raymond, NH
  • NPI 1083085724
  NPD

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1609865005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334807",
            "telephone_number": "603-773-4900",
            "fax_number": "603-775-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334807",
            "telephone_number": "603-773-4900",
            "fax_number": "603-775-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEM",
        "first_name": "JENNIFER",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "3165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075267",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CREEM",
            "middle_name": "ALENE",
            "credential": "DMD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie T Cotreau, PHARMD, PIC, CIP
• Rose Cotronea, MA
• Bonnie H Couture, M.D.
• Phyllis Lee Craig, PH.D.
• Kimberly Crampsey, PT
• Alexandra M Crosby, LICSW
• Patricia C Crothers, APRN
• Crystal McKenna Counseling LLC
• Crystal McKenna Counseling, LLC
• Nicole Culligan, RD, LD

• Pediatric Dentistry in Exeter, NH
• Providers in Exeter, NH by specialty
• Pediatric Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.