Jason D Roe, DDS, PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

JASON D ROE, DDS, PLLC

Doing business as

Pro Dental Dallas

Practice address

5136 Village Creek Dr Ste 501
Plano, TX 75093-4460

Phone

(972) 931-1777

NPI assigned

Aug 10, 2022

Last updated

Aug 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Derek Roe, DDSNPI 1992715148

Title

Dentist/Owner

Phone

(972) 931-1777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pro Dental Dallas Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason D Roe, DDS, FACP

  • Prosthodontics
  • Plano, TX
  • NPI 1992715148
  NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1437887254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 VILLAGE CREEK DR STE 501",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934460",
            "telephone_number": "972-931-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 VILLAGE CREEK DR STE 501",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934460",
            "telephone_number": "972-931-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D ROE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "972-931-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE DENTAL BOARD",
            "identifier": "22741",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason@prodentaldallas.com",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5136 Village Creek Dr Ste 501",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750934460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pro Dental Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janna Massar MD PA
• Candice Pimlapah Jantz, MD
• Sara Jaquay, MSN, APRN, PMHNP-BC
• Kara Ann Jarke, FNP
• Tiffany Ann Jarrell-Sene, OTR, CHT
• Elisa Jasper
• Jamie Ann Jaubert, L.P.C.
• Bianca Javery, LMFT-A
• Ghassan Saleem Jawad
• Jay Daniel Duhon, PH.D., PLLC

• Prosthodontics in Plano, TX
• Providers in Plano, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.