Harold Stewart Jeter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-02-0354 Issued in OH

Practice address

804 4TH St E
South Point, OH 45680-9117

Phone

(740) 377-2020

Fax

(740) 377-4961

NPI assigned

Aug 24, 2005

Last updated

Jun 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hjeter11311@direct.kdhealth.us

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.

• Hal S. Jeter, DDS, Inc.

  • Dental Clinic/Center
  • South Point, OH
  • NPI 1710200589
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1811980006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 4TH ST E",
            "address_2": "P.O. BOX 517",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809117",
            "telephone_number": "740-377-2020",
            "fax_number": "740-377-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 4TH ST E",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809117",
            "telephone_number": "740-377-2020",
            "fax_number": "740-377-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "HAROLD",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8417",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-02-0354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100118710",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053270",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ironton & Lawrence Countyarea Community Action Organization (South Point Family Medical Center)
• Jakki Jackson
• Mary Elizabeth Jackson, COTA/L
• Dakota B Javins, CMS
• Jonathan M Jenkins, CDCA
• Darius Joell
• Carla Sue Johnson
• Fred Timothy Jones, CDCA, CMS
• Lavona Jones
• Danielle Nicole Joseph, OTR/L

• General Practice Dentistry in South Point, OH
• Providers in South Point, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.