Jason E. Maines, D.D.S.,M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

8187 Issued in CO

Practice address

1331 E Prospect Rd Unit B1
Fort Collins, CO 80525-1367

Phone

(970) 482-4916

Fax

(970) 221-5424

NPI assigned

Oct 11, 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

Medicare fee-for-service enrollment

Enrolled in CO

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

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1265620561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 GINNALA DR",
            "address_2": "SUITE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382701",
            "telephone_number": "970-461-1994",
            "fax_number": "970-461-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E PROSPECT RD UNIT B1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251367",
            "telephone_number": "970-482-4916",
            "fax_number": "970-221-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINES",
        "first_name": "JASON",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "8187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Mai, MA, MFT-C
• Kent Maier, D.C.
• Heidi Maijub Triana, MA, LPC - S
• Lera Virginia Main, LPN
• Maria Ana Main, ARNP
• Mainstay Physical Therapy LLC
• Cara Michelle Maiolo, MA, LPC
• Majestic Access and Recovery Services
• Jeni B Makinen, NP
• Layla Souti Malander

• Endodontics in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Endodontics in Colorado

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