DR. JERRY SHUMATE ALVIS (NPI# 1497790596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497790596 |
| Entity Type | Individual |
| Full Name | DR. JERRY SHUMATE ALVIS |
| Credential | D.D.S., P.A. |
| Practice Address |
5603 Duraleigh Rd Suite 131 Raleigh NC 27612-2688 |
| Practice Telephone | 9197825752 |
| Practice Fax Number | 9197825797 |
| Mailing Telephone | 9197825752 |
| Mailing Fax Number | 9197825797 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6792 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UNITED CONCORDIA | 1455728 | 01 |
| NC | BCBS | 90065 | 01 |
| Street Address |
5603 DURALEIGH RD SUITE 131 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-2688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678336 | Matthew K Flynn | Specialist | 5603 Duraleigh Rd, Ste 111, Raleigh, NC 27612-2688 | 2005-06-10 |
| 1548529001 | Kara Mariko Brooks | Dermatology | 5603 Duraleigh Rd, Suite 111, Raleigh, NC 27612-2688 | 2012-05-03 |
| 1578743597 | Jerry S. Alvis, D.d.s., P.a. | Exclusive Provider Organization | 5603 Duraleigh Rd, Suite 131, Raleigh, NC 27612-2688 | 2007-11-07 |
| 1558473132 | Elizabeth Marie Macpherson | Nurse Practitioner | 5603 Duraleigh Rd, Suite111, Raleigh, NC 27612-2688 | 2006-08-31 |
| 1912018375 | Ronald B Bean | Physician Assistant | 5603 Duraleigh Rd, Suite 111, Raleigh, NC 27612-2688 | 2006-08-31 |
| 1588674568 | Flynn Dermatology Pa | Specialist | 5603 Duraleigh Rd, Suite 111, Raleigh, NC 27612-2688 | 2006-08-09 |
| 1528029972 | Ginger Elizabeth Smith | Physician Assistant | 5603 Duraleigh Rd, Suite 111, Raleigh, NC 27612-2688 | 2006-03-28 |
| 1972508828 | Kelly T Blount | Physician Assistant | 5603 Duraleigh Rd, Suite 111, Raleigh, NC 27612-2688 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261947 | Daniel Conti, Dds Pllc | Dentist | 8805 Old Tom Way, Raleigh, NC 27613-5434 | 2020-09-29 |
| 1447869375 | Liji Joseph | Dentist | 1600 Cross Link Rd Ste 103-104, Raleigh, NC 27610-1089 | 2020-07-27 |
| 1215545884 | Sara Saleh | Dentist | 4555 Sugarbend Way, Raleigh, NC 27606-4544 | 2020-07-20 |
| 1255951067 | Alterman Dhillon and Associates | Dentist | 4203 Corners Pkwy Ste 100, Raleigh, NC 27617-4311 | 2020-04-22 |
| 1750931994 | W. Christopher Claypoole, Dds, Pa | Dentist | 7980 Arco Corporate Dr Ste 102, Raleigh, NC 27617-2072 | 2019-09-19 |
| 1770136129 | Abdul Rahim Zalal | Dentist | 5700 Bramblewood Dr, Raleigh, NC 27612-2290 | 2019-07-24 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1053882514 | Daiana Atari Dmd Pllc | Dentist | 5816 Creedmoor Rd Ste 105, Raleigh, NC 27612-2310 | 2018-12-10 |
| 1770079113 | Claudel Pilon Giggey | Dentist | 8015 Creedmoor Rd Ste 202, Raleigh, NC 27613-4397 | 2018-07-09 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.