Individual provider Active NPI

Jason A Megens, DMD

  • General Practice Dentistry
  • Temple, TX
National Provider Identifier
1245334390
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28372 Issued in TX
Practice address
1109 S 31St St
Temple, TX 76504-5214
Phone
(254) 774-8181
Fax
(254) 774-8368
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28372 TX Primary

Addresses

Primary practice location

1109 S 31St St
Temple, TX 76504-5214

Mailing address

1109 S 31St St
Temple, TX 76504-5214
Phone (254) 774-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28372TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1245334390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045214",
            "telephone_number": "254-774-8181",
            "fax_number": "254-774-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045214",
            "telephone_number": "254-774-8181",
            "fax_number": "254-774-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGENS",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.