NPIMap

Organization Active NPI

Jennifer Tedder, DDS, PA

  • Endodontics
  • Rocky Mount, NC
National Provider Identifier
1891909578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6608 Issued in NC
Legal business name
JENNIFER TEDDER, DDS, PA
Practice address
400 Peachtree Street
Rocky Mount, NC 27804-4831
Phone
(252) 985-3636
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jennifer Tedder, DDSNPI 1407918766
Title
Endodontist
Phone
(252) 985-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 6608 NC Primary

Addresses

Primary practice location

400 Peachtree Street
Rocky Mount, NC 27804-4831

Mailing address

400 Peachtree St
Rocky Mount, NC 27804-4831
Phone (252) 985-3636

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891909578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PEACHTREE ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044831",
            "telephone_number": "252-985-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PEACHTREE STREET",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044831",
            "telephone_number": "252-985-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER TEDDER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "252-985-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.