Caroline K Jermanus, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN17967 Issued in FL

Practice address

1600 SW Archer Rd
Grad Periodontics
Gainesville, FL 32610-3003

Phone

(352) 273-7846

NPI assigned

Aug 8, 2007

Last updated

Aug 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 3, 2019 through Jan 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  NPD (past)
• Tower Dental Associates PC

  • Dentist
  • Downers Grove, IL
  • NPI 1497890131
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1831380302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 SW 35TH PL",
            "address_2": "#901",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083294",
            "telephone_number": "352-373-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "GRAD PERIODONTICS",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERMANUS",
        "first_name": "CAROLINE",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN17967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jensen
• Lainey Jensen
• Lauren Rostkowski Jensen, MD
• Hye--Seon Jeon, PT
• Rita L Jerkins
• Jacqunna Jernigan
• Tamar Jernigan
• Timini Jernigan
• Roy Gregory Jerrell, D.D.S.
• Hayley Jerrels

• Periodontics in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.