Jason Blaine Pittman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS8239 Issued in TN

Practice address

401 Martin Luther King Jr Blvd
Bristol, TN 37620-3588

Phone

(423) 968-4422

Fax

(423) 968-3477

NPI assigned

Dec 13, 2006

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

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• Bristol Dental Group, PC

  • General Practice Dentistry
  • Bristol, TN
  • NPI 1649567025
  NPD (past) Authorized official
• Alamont Dental Associates, P.C.

  • Dentist
  • Bristol, TN
  • NPI 1538343405
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1104987171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MARTIN LUTHER KING JR BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203588",
            "telephone_number": "423-968-4422",
            "fax_number": "423-968-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MARTIN LUTHER KING JR BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203588",
            "telephone_number": "423-968-4422",
            "fax_number": "423-968-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JASON",
        "middle_name": "BLAINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Leanne Phillips, MPT, ATC
• Jessica Renea Phipps, PHARMD
• Alexander Wayne Pilgreen, DDS
• Todd Edward Pillion, D.D.S.
• Pioneer Foot and Ankle Specialists
• William Marshall Platt, MD
• Samuel Milton Plucker, M.D.
• Bethany Elaine Plumbar, BSW
• Valerie Lynn Ponce, PHYSICIAN ASSISTANT
• George Darby Pope, M.D.

• General Practice Dentistry in Bristol, TN
• Providers in Bristol, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.