JEFFREY ROOT (NPI# 1639100209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639100209 |
| Entity Type | Individual |
| Full Name | JEFFREY ROOT |
| Credential | D.D.S. |
| Practice Address |
300 Water Oak Suites Brevard NC 28712 |
| Practice Telephone | 8288843421 |
| Practice Fax Number | 8288846336 |
| Mailing Telephone | 8288843421 |
| Mailing Fax Number | 8288846336 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7865 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5900290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811175326 | Jeffrey Robert Root | Surgery | 20 Glenlake Parkway, Kaiser Permanente Glenlake Medical Center, Atlanta, GA 30328 | 2008-02-06 |
| 1487741823 | Jeffrey R Root | Psychologist | 279 Troy Rd, Rensselaer, NY 12144-9499 | 2006-10-06 |
| Street Address |
300 WATER OAK SUITES |
| City | BREVARD |
| State | NC |
| Zip Code | 28712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295837482 | Milton Vines Massey | Dentist | 300 Water Oak Suites, Brevard, NC 28712 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351152 | Kelley Strom | Occupational Therapist | 835 Wolf Pen Cove Road, Brevard, NC 28712 | 2017-08-11 |
| 1568909232 | Christina Faye Jachens | Counselor | 39 East Jordan Street, Brevard, NC 28712 | 2017-01-19 |
| 1922446947 | Allcare Clinical Associates, Pa | Anesthesiology | 89c Hospital Drive, Brevard, NC 28712 | 2013-06-12 |
| 1265742852 | Loftis Home Medical LLC | Durable Medical Equipment & Medical Supplies | 181 Rosman Hwy, Brevard, NC 28712 | 2010-10-15 |
| 1407164395 | United Rehab Inc. | Clinic/Center | 300 Morris Road, Brevard, NC 28712 | 2010-09-14 |
| 1083931851 | Polly Mitchiner-senecal | Pharmacist | 382 Asheville Highway, Brevard, NC 28712 | 2010-05-03 |
| 1891029682 | Douglas Carl Harris | Pharmacist | 382 Asheville Hwy., Brevard, NC 28712 | 2009-09-25 |
| 1386828770 | Academy of The Sierras | Residential Treatment Facility, Physical Disabilities | 1 Lambs Creek Rd, Brevard, NC 28712 | 2007-12-21 |
| 1215117619 | Kimberly Lynn Marchisin | Orthotic Fitter | 10 E Jordan St West, Brevard, NC 28712 | 2007-11-14 |
| 1841482700 | Transylvania County Dss | Public Health or Welfare | 106 E Morgan Street, Brevard, NC 28712 | 2007-08-15 |
| Find all providers in zip 28712 | ||||
| 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 |
|---|---|---|---|---|
| 1487950549 | Cozart & Associates Pllc, Wiley Simeon Cozart IIi Sole Mbr | Dentist | 344 Gallimore Road, Brevard, NC 28712-8874 | 2011-02-07 |
| 1548462757 | Joseph L. Cowart Dmd, Pa & James F. Ohlsson Dds, Pa | Dentist | 1301 Asheville Hwy Ste B, Brevard, NC 28712-9536 | 2007-06-01 |
| 1346455615 | Dempsey John Bailey | Dentist | 31 W Morgan St, Brevard, NC 28712 | 2007-05-11 |
| 1528189040 | Alvaro Xavier Lopez | Dentist | 290 N Broad St, Brevard, NC 28712-3346 | 2007-04-02 |
| 1003934068 | Melvin Lee Davis | Dentist | 240 S Caldwell St, Brevard, NC 28712-3604 | 2007-03-27 |
| 1700939196 | Bartel Vanoostendorp V | Dentist | 4 Market St Ste 4202, Brevard, NC 28712-5637 | 2007-01-19 |
| 1205997053 | Drs Krishingner Root and Assoc Pllc | Dentist | 123 East Main St Suite 300, Drs Krishingner Root and Assoc Pllc, Brevard, NC 28712 | 2006-12-13 |
| 1477639250 | Wiley Simeon Cozart IIi | Dentist | 344 Gallimore Rd, Brevard, NC 28712-8874 | 2006-10-27 |
| 1134215957 | John Anthony Krishingner | Dentist | 201 Water Oak Suites, Brevard, NC 28712 | 2006-10-05 |
| 1174594139 | Joseph Lawrence Cowart | Dentist | 4 Market St, Suite 4202, Brevard, NC 28712-5635 | 2006-01-29 |
| Find all providers in BREVARD | ||||
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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.