Active NPI
Jason P Jamison, DMD
- Dentist
- Greeley, CO
National Provider Identifier
1396030284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10447
- Practice address
- 3485 W 10TH St Ste C
Greeley, CO 80634-5368 - Phone
- (970) 353-4746
- NPI assigned
- Jun 18, 2011
- Last updated
- May 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10447 | CO | Primary |
Addresses
Primary practice location
3485 W 10TH St Ste C
Greeley, CO 80634-5368
Mailing address
5979 Banner St
Timnath, CO 80547-2518
Phone (970) 691-0794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10447 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1396030284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5979 BANNER ST",
"city": "TIMNATH",
"state": "CO",
"postal_code": "805472518",
"telephone_number": "970-691-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 W 10TH ST STE C",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345368",
"telephone_number": "970-353-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "JASON",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-18",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "10447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.