Active NPI
Jeremy May, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Stockton, CA
National Provider Identifier
1629414842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DDS100066
- Practice address
- 10928 Trinity Pkwy
Stockton, CA 95219 - Phone
- (209) 474-8000
- NPI assigned
- May 14, 2013
- Reactivated
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DDS100066 | CA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DDS100066 | CA | Primary |
Addresses
Primary practice location
10928 Trinity Pkwy
Stockton, CA 95219
Mailing address
6209 Colby St
Oakland, CA 94618-1232
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100066 | CA | MD | Marriage & Family Therapist |
| DDS100066 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeremy Jacobs May, DDS, Inc. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Jeremy Jacobs May, DDS, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Stockton, CA
- NPI 1376034587
-
- Oral and Maxillofacial Surgery Clinic/Center
- Stockton, CA
- NPI 1487146569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1629414842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6209 COLBY ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10928 TRINITY PKWY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95219",
"telephone_number": "209-474-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2018-06-14",
"deactivation_date": "2018-06-01",
"reactivation_date": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "DDS100066",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "DDS100066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.