Jasmine Renee Elmore, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9596 Issued in NC

Practice address

2401 Wooten Blvd SW
Suite F
Wilson, NC 27893

Phone

(252) 291-4300

Fax

(252) 291-2337

NPI assigned

May 29, 2013

Last updated

May 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elmore Jr DDS PLLC

  dba About Face Collaborative

  • Pediatric Dentistry
  • Raleigh, NC
  • NPI 1093331209
  NPD Authorized official
• J Elmore DDS PLLC

  • Pediatric Dentistry
  • Cary, NC
  • NPI 1932932308
  NPD Authorized official
• Jasmine R Elmore DDS PLLC

  • Pediatric Dentistry
  • Wilson, NC
  • NPI 1508307539
  Authorized official Same address or phone

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1932546157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 LANDOVER PEAK PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169796",
            "telephone_number": "252-916-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW",
            "address_2": "SUITE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-291-4300",
            "fax_number": "252-291-2337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4446 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276033612",
            "country_code": "US",
            "telephone_number": "803-412-2459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4414 Lake Boone Trl Ste 111",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077514",
            "country_code": "US",
            "telephone_number": "804-387-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "JASMINE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "9596",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.