Organization Active NPI

Jason a Dunville DDS PC

  • Dental Clinic/Center
  • Jefferson City, MO
National Provider Identifier
1285204545
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JASON A DUNVILLE DDS PC
Practice address
3237 W Truman Blvd Ste 201
Jefferson City, MO 65109-6944
Phone
(573) 635-2571
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Jason A Dunville, DDSNPI 1548321219
Title
Doctor
Phone
(573) 635-2571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X

Addresses

Primary practice location

3237 W Truman Blvd Ste 201
Jefferson City, MO 65109-6944

Mailing address

3237 W Truman Blvd Ste 201
Jefferson City, MO 65109-6944
Phone (573) 635-2571

National Provider Directory

National Provider Directory

Locations

3237 W Truman Blvd
Ste 201
Jefferson Cty, MO 65109
Phone (573) 635-2571

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1285204545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 W TRUMAN BLVD STE 201",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096944",
            "telephone_number": "573-635-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 W TRUMAN BLVD STE 201",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096944",
            "telephone_number": "573-635-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A DUNVILLE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "DUNVILLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "573-635-2571",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.