Jason K Whetten, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D7646 Issued in AZ

Practice address

495 N Pinal Pkwy Ste 101
Florence, AZ 85132-8870

Phone

(480) 202-0992

NPI assigned

Aug 19, 2008

Sex

Male

Sole proprietor

Yes

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 AZ

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

State licenses

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.

• Florence Dental PLLC

  • Dental Clinic/Center
  • Florence, AZ
  • NPI 1003061250
  NPD (past) Authorized official

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1275780439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1319",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323026",
            "telephone_number": "520-868-3384",
            "fax_number": "520-868-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N PINAL PKWY STE 101",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328870",
            "telephone_number": "480-202-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETTEN",
        "first_name": "JASON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary L Walker, FNP
• Candace Waltz
• Wesley Watson, PT
• We Love Seniors LLC
• Undre Webb, LPN
• Noelle Kay White, OTR
• Valorie Ann Wilson, RN AND FNP-STUDENT
• Wilwamh Care LLC
• Kaylee Wing
• Kevin Anthony Wright, E.DS., PHD.

• Dentist in Florence, AZ
• Providers in Florence, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.