Jason Kendall Snow, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D-8490 Issued in OR

Practice address

499 SW Upper Terrace Dr
Suite B
Bend, OR 97702-1582

Phone

(541) 383-3636

NPI assigned

Oct 16, 2006

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 NC

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003996919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 SW UPPER TERRACE DR",
            "address_2": "SUITE B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021582",
            "telephone_number": "541-383-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 SW UPPER TERRACE DR",
            "address_2": "SUITE B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021582",
            "telephone_number": "541-383-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "JASON",
        "middle_name": "KENDALL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D-8490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ashton Snead
• Bodhi Dawn Snell
• Mathew Snodgrass, MD
• Snow Pine Counseling PLLC
• Amy Gouley Snow, PA
• Bonnie J. Snyder, LMT
• Danielle Snyder, LCSW
• Lauren Dooley Snyder, MS
• Kimberlee A Soares, PT
• Beau Jeffrey Sober, M.D.

• Endodontics in Bend, OR
• Providers in Bend, OR by specialty
• Endodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.