Jared Earl, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DGD.8604 GD Issued in SC

Practice address

1111 W O Ezell Blvd
Spartanburg, SC 29301-1655

Phone

(864) 576-0947

NPI assigned

Jul 20, 2015

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 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.

• Charles S Bebko DMD PC

  • Dentist
  • Spartanburg, SC
  • NPI 1104372085
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1922482926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W O EZELL BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W O EZELL BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011655",
            "telephone_number": "864-576-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "JARED",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8604 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jane Dyches, M.A., CCC-SLP
• Grant Dye
• Kalika Dye
• Dynamic Healthcare at Home
• Dynamic Wound Care of South Carolina LLC
• Early Intervention Upstate Inc.
• Ira Gordon Early Jr., M.D., M.P.H.
• Elisa Ruth Easley, LMSW
• Eastside Eye Center PA
• Eastside Family Physicians, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.