Jason Bayless, D.D.S.
Individual provider Active NPI General Practice Dentistry · Greenfield, IN
NPI 1447510490 · NPPES record last updated Jan 18, 2026
Key facts
- NPI
- 1447510490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12011801A (IN)
- Practice address
- 626 N State St
Greenfield, IN 46140-1402 - Phone
- (317) 462-9480
- Fax
- (317) 462-2794
- NPI assigned
- May 24, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119003571 | IN | Order and Referring Only - Dentist |
7810422417 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12011801A | IN | Yes |
Addresses
Primary practice location
626 N State St
Greenfield, IN 46140-1402
Mailing address
626 N State St
Greenfield, IN 46140-1402
Phone (317) 462-9480
Other practice location 1
1121 W Michigan St
Indianapolis, IN 46202-5211
Phone (317) 274-7433
Other providers in Greenfield, IN
- Gary W Bardonner
- Mieasha Hicks Barksdale
- Keryna Paige Barrett
- Eriel Bass
- Ann Marie Bastin
- Gabriel Vandoran Beatty
- Milagro Behny
- Sheri Lynn Bell-O'Gara
- Devin Bennett
- Nicholas Bernauer
All providers in Greenfield, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.