Jason Lee Ehlers, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

M934 Issued in SD

Practice address

108 W 4TH St
Dell Rapids, SD 57022-1508

Phone

(604) 428-5471

Fax

(605) 428-4804

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dell Rapids Dental

  • General Practice Dentistry
  • Dell Rapids, SD
  • NPI 1457843591
  NPD (past)
• Ford Management Services LLC

  • Dentist
  • Dell Rapids, SD
  • NPI 1093207193
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013061787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W 4TH ST",
            "city": "DELL RAPIDS",
            "state": "SD",
            "postal_code": "570221508",
            "telephone_number": "604-428-5471",
            "fax_number": "605-428-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W 4TH ST",
            "city": "DELL RAPIDS",
            "state": "SD",
            "postal_code": "570221508",
            "telephone_number": "604-428-5471",
            "fax_number": "605-428-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERS",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801660",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dell Rapids NRSG. Home Inc.
• Dell Rapids Nursing Home
• Dell Rapids School District 49-3
• Dells Nursing & Rehab Center
• Jill Dvorak, R.N.
• Ford Management Services LLC
• Genesis Homecare
• Renae Lynn Gingrich, M.A. CCC/SLP
• Alisyn Victoria Graesser, DPT
• Jennifer Hannasch, SLP

• All providers in Dell Rapids, SD
• Dentist in South Dakota

• 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.