Jason D. Mah DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JASON D. MAH DMD PLLC

Practice address

700 N Devine Rd Ste a
Vancouver, WA 98661-6964

Phone

(360) 750-1385

Fax

(360) 750-1385

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jason D Mah, DMD

Title

Owner

Phone

(360) 750-1385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1154096295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N DEVINE RD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616964",
            "telephone_number": "360-750-1385",
            "fax_number": "360-750-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N DEVINE RD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616964",
            "telephone_number": "360-750-1385",
            "fax_number": "360-750-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D. MAH DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-750-1385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Jardin, LMP
• Ellis Burke Jardine, D.M.D.
• Olivia Jarett, PA-C
• Cailin Kelly Jarrell, FNP-BC, PMHNP-BC
• Jessica Danielle Jarrett, ND
• Jason Paul Jarria, MD, PLLC
• Daniel Jass
• Sukhmani Jassar, B.D.S, M.S.
• Daphne Jaulus Burns
• Heather Jauregui

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.