Jason C. Doublestein, D.D.S., P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018806 Issued in MI

Legal business name

JASON C. DOUBLESTEIN, D.D.S., P.L.L.C.

Practice address

4320 44TH St SW
Suite 106
Grandville, MI 49418-2300

Phone

(616) 530-2200

Fax

(616) 530-8250

NPI assigned

Sep 3, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason C Doublestein, D.D.S., P.L.L.C.NPI 1386760072

Title

President

Phone

(616) 530-2200

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason C Doublestein, DDS

  • General Practice Dentistry
  • Grandville, MI
  • NPI 1386760072
  Authorized official Same address or phone

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1275766461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 44TH ST SW",
            "address_2": "SUITE 106",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182300",
            "telephone_number": "616-530-2200",
            "fax_number": "616-530-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 44TH ST SW",
            "address_2": "SUITE 106",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182300",
            "telephone_number": "616-530-2200",
            "fax_number": "616-530-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON C. DOUBLESTEIN, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "DOUBLESTEIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-530-2200",
        "authorized_official_credential": "D.D.S., P.L.L.C."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1386760072",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1952426371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diane Shahara Jamoua, O.D.
• Jane J Jawahir MD PC
• Hailee Madisen Jarchow, BEHAVIOR TECHNICIAN
• Jemh Group (Senior Helpers of Greater Grand Rapids)
• Jenna Wierenga, PSYD LLC
• Jennifer a Pickett, LLC
• Alexis Rose Jensen, BEHAVIOR TECHNICIAN
• Andrew Jensen

• General Practice Dentistry in Grandville, MI
• Providers in Grandville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.