Active NPI
Jason Isaac Margolis, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2011037753
- Practice address
- 621 South New Ballas Road
Suite 16 a
St. Louis, MO 63141 - Phone
- (314) 251-6725
- Fax
- (314) 251-6726
- NPI assigned
- Aug 5, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2011037753 | MO | Primary |
Addresses
Primary practice location
621 South New Ballas Road
Suite 16 a
St. Louis, MO 63141
Mailing address
621 South New Ballas Road
Suite 16 a
St. Louis, MO 63141
Phone (314) 251-6725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Oregon Health & Sciences Univ School of Dentistry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6035 Peters Creek Rd
Roanoke, VA 24019-4029
Phone (540) 362-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011037753 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Roanoke Oral Surgery, Inc. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Carilion Medical Center | Current | Accepting new patients | |
| Michael W. Noble, DMD, PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Vision Surgical Arts, LLC | Past | Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients |
Locations
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
6035 Peters Creek Rd
Roanoke, VA 24019
Phone (540) 362-5900
3229 Brandon Ave SW
Roanoke, VA 24018
Phone (540) 362-5900
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Roanoke, VA
- NPI 1104007384
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
dba Oral Facial Surgery Institute
- Oral and Maxillofacial Surgery (Dentist)
- Eureka, MO
- NPI 1356508758
-
dba Oral Facial Surgery Institute
- Oral & Maxillofacial Surgery (D.M.D.)
- Saint Louis, MO
- NPI 1366039075
-
- Dental Clinic/Center
- Roanoke, VA
- NPI 1114399276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1437315702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 SOUTH NEW BALLAS ROAD",
"address_2": "SUITE 16 A",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-6725",
"fax_number": "314-251-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SOUTH NEW BALLAS ROAD",
"address_2": "SUITE 16 A",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-6725",
"fax_number": "314-251-6726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIS",
"first_name": "JASON",
"middle_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "2011037753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.