Jed P Tepper, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

SC2516 Issued in SC

Practice address

415 W Palmetto St
Florence, SC 29501-4424

Phone

(843) 662-1596

NPI assigned

May 15, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

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.

• Carolina Regional Dental, P.a.

  • Dentist
  • Florence, SC
  • NPI 1639365745
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1902012909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014424",
            "telephone_number": "843-662-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014424",
            "telephone_number": "843-662-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "JED",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "SC2516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9960",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Markette Tedder, APRN-BC
• Telemedicine Practitioners, LLC
• Megan Dowling Bryant Temple, LPC, CACP, MS
• Carolyn M Tencza, CRNA
• Tender Care Home Health Care LLC
• Mary Bradley Tepper, DMD
• Eric S. Terrell, PHARM.D.
• Jay Eddie Terry, PHARM-D
• Meron A Tesfay, M.D.
• Rami Tfayli, MD

• Dentist in Florence, SC
• Providers in Florence, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.