Jason Bayless, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011801A Issued in IN

Practice address

626 N State St
Greenfield, IN 46140-1402

Phone

(317) 462-9480

Fax

(317) 462-2794

NPI assigned

May 24, 2012

Last updated

Jan 18, 2026By the provider in NPPES

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

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1447510490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401402",
            "telephone_number": "317-462-9480",
            "fax_number": "317-462-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401402",
            "telephone_number": "317-462-9480",
            "fax_number": "317-462-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025211",
            "country_code": "US",
            "telephone_number": "317-274-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "JASON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011801A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary W Bardonner, D.D.S.
• Mieasha Hicks Barksdale, D.P.M.
• Keryna Paige Barrett
• Eriel Bass
• Ann Marie Bastin
• Gabriel Vandoran Beatty, PT, DPT
• Milagro Behny, LMHC
• Sheri Lynn Bell-O'Gara
• Devin Bennett, PHARMD
• Nicholas Bernauer

• General Practice Dentistry in Greenfield, IN
• Providers in Greenfield, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.