Active NPI
Jessica Lauren Starnes, DMD
- Dentist
- Shaw AFB, SC
National Provider Identifier
1720547268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9429
- Practice address
- 449 Meadowlark St # 1046
Shaw AFB, SC 29152-5020 - Phone
- (803) 895-6988
- NPI assigned
- Mar 14, 2019
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9429 | SC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
449 Meadowlark St # 1046
Shaw AFB, SC 29152-5020
Mailing address
449 Meadowlark St # 1046
Shaw AFB, SC 29152-5020
Phone (845) 304-2024
Other practice location 1
151 Bodin Cir Bldg 775
Travis AFB, CA 94535-1801
Phone (707) 423-7008
Other practice location 2
173 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-2102
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1720547268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 MEADOWLARK ST # 1046",
"city": "SHAW AFB",
"state": "SC",
"postal_code": "291525020",
"telephone_number": "845-304-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 MEADOWLARK ST # 1046",
"city": "SHAW AFB",
"state": "SC",
"postal_code": "291525020",
"telephone_number": "803-895-6988"
}
],
"practiceLocations": [
{
"address_1": "151 Bodin Cir Bldg 775",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "945351801",
"country_code": "US",
"telephone_number": "707-423-7008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "173 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258908",
"country_code": "US",
"telephone_number": "843-792-2102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARNES",
"first_name": "JESSICA",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9429",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shaw AFB, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.