Individual provider Active NPI

Jason D. McCargar, D.M.D.

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1346222072
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5977 Issued in AZ
Practice address
9751 N 90TH PL
Scottsdale, AZ 85258-5082
Phone
(480) 860-8282
Fax
(480) 860-0725
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5977 AZ Primary

Addresses

Primary practice location

9751 N 90TH PL
Scottsdale, AZ 85258-5082

Mailing address

111 W Cardinal Way
Chandler, AZ 85286-4535
Phone (480) 686-4300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150729008837 AZ Order and Referring Only - DentistPractitioner - Dentist 1254645658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5977AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jason D McCargar DMD, LTD Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1346222072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W CARDINAL WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864535",
            "telephone_number": "480-686-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 N 90TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585082",
            "telephone_number": "480-860-8282",
            "fax_number": "480-860-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARGAR",
        "first_name": "JASON",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.