DAVID SPENCER REMLEY DMD
NPI 1639751035
Dentist in Jackson, MS

Q: What is David Remley's NPI number?

The NPI number for David Remley is 1639751035. It was assigned to this individual provider in the NPPES registry on April 25, 2021.

Q: What is David Remley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is David Remley enrolled in Medicare?

No. David Remley has opted out of Medicare through August 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for David Remley was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2021Opted out of Medicare · through Aug 14, 2027

2500 N STATE ST, JACKSON, MS 39216(601) 984-6090(601) 984-4949 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2026, Jun 16, 2021, Apr 25, 2021 (3 updates tracked since 2021).

On this page

About David Spencer Remley Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID SPENCER REMLEY DMD (NPI 1639751035) is an individual dentist in Jackson, Mississippi, licensed in Mississippi (4210-21) and active in the NPI registry since April 2021. He has opted out of Medicare through August 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639751035

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDAVID SPENCER REMLEYCredential: DMD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500

Phone(601) 984-6090

Fax(601) 984-4949

Sole ProprietorNo

Enumeration DateApril 25, 2021

Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1639751035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MS · 4210-21

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 111402 (MS)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO, Guardian, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David Spencer Remley Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 14, 2025 through August 14, 2027.

Opt-Out Effective DateAugust 14, 2025

Opt-Out In Effect ThroughAugust 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)