Jared E. Rasmussen, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8598613-9924 Issued in UT

Practice address

76 E Commerce Dr # Drive203
Saratoga Springs, UT 84045-4022

Phone

(801) 786-3200

Fax

(801) 766-1121

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 25, 2022 through Aug 25, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lakeside Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Saratoga Springs, UT
  • NPI 1417898560
  NPD Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1417157355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E COMMERCE DR # DRIVE203",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454022",
            "telephone_number": "801-786-3200",
            "fax_number": "801-766-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E COMMERCE DR # DRIVE203",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454022",
            "telephone_number": "801-786-3200",
            "fax_number": "801-766-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "JARED",
        "middle_name": "E.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "8598613-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Dental Saratoga LLC
• Emely Puich, RN
• Mark Raff
• Rasmussen Oral & Maxillofacial Surgery
• Jake Rasmussen
• Morgan Rawlings, APRN
• Sarah Rawlings, AMFT
• Eliza Reber
• Red Pine Health Supply
• Reese and Weaver, Ods LLC

• Oral and Maxillofacial Surgery (Dentist) in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.