Jeremy M Jewell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037503 Issued in PA

Practice address

22808 Route 68
Clarion, PA 16214-8512

Phone

(814) 223-9968

Fax

(814) 223-9967

NPI assigned

Jul 8, 2008

Sex

Male

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

Enrolled in PA

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

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1851554943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22808 ROUTE 68",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148512",
            "telephone_number": "814-223-9968",
            "fax_number": "814-223-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22808 ROUTE 68",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148512",
            "telephone_number": "814-223-9968",
            "fax_number": "814-223-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "JEREMY",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Jackson, BS
• Khadija Jackson, DO
• Jason Ronald Jacobs, D.C.
• Mira Jain
• Nancy Jane Jeannerat, MA, LPC, CAC
• JMK RX & Wellness, Inc
• John R Slagle
• John R Slagle
• Brenda Arlene Jones, MS, NCC, LPC
• Debra Jo Jones, LCSW, QCSW

• General Practice Dentistry in Clarion, PA
• Providers in Clarion, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.