Individual provider Active NPI

John'E Jasper Epps, DDS

  • General Practice Dentistry
  • Gates, NC
National Provider Identifier
1770673261
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8301 Issued in NC
Practice address
25 Medical Center Rd
Gates, NC 27937-9816
Phone
(252) 357-4337
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8301 NC Primary

Addresses

Primary practice location

25 Medical Center Rd
Gates, NC 27937-9816

Mailing address

25 Medical Center Rd
Gates, NC 27937-9816
Phone (252) 357-4337

Other identifiers 1

IdentifierTypeStateIssuer
5905431MedicaidNC

Other names 1

  • Dr. John'E Johnette Jasper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20251229000115 VA Order and Referring Only - DentistPractitioner - Dentist 7517453616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8301NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Johne Jasper Epps DDS PA General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1770673261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MEDICAL CENTER RD",
            "city": "GATES",
            "state": "NC",
            "postal_code": "279379816",
            "telephone_number": "252-357-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MEDICAL CENTER RD",
            "city": "GATES",
            "state": "NC",
            "postal_code": "279379816",
            "telephone_number": "252-357-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER EPPS",
        "first_name": "JOHN'E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905431",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN'E",
            "last_name": "JASPER",
            "middle_name": "JOHNETTE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gates, NC

Sources for this page

Verify at the official NPI Registry.