NPIMap

Organization Active NPI

West Bell Road Dental LLC

Doing business as Jason J. Augustine, D.D.S, M.S., P.C

  • Periodontics
  • Phoenix, AZ
National Provider Identifier
1295476398
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
WEST BELL ROAD DENTAL LLC
Doing business as
Jason J. Augustine, D.D.S, M.S., P.C
Practice address
4025 W Bell Rd Ste 4
Phoenix, AZ 85053-2748
Phone
(602) 978-6910
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Vicenta Reyes
Title
Lead of Credentialing
Phone
(972) 869-3789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

4025 W Bell Rd Ste 4
Phoenix, AZ 85053-2748

Mailing address

4025 W Bell Rd Ste 4
Phoenix, AZ 85053-2748
Phone (602) 978-6910

Other names 1

  • Jason J. Augustine, D.D.S, M.S., P.C Doing business as

National Provider Directory

National Provider Directory

Locations

4025 W Bell Rd
Ste 4
Phoenix, AZ 85053
Phone (480) 744-3881

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": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1295476398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532748",
            "telephone_number": "602-978-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532748",
            "telephone_number": "602-978-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BELL ROAD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_title_or_position": "LEAD OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jason J. Augustine, D.D.S, M.S., P.C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jason J. Augustine, D.D.S, M.S., P.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.