Jason William Pollard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12571 Issued in MN

Practice address

217 Main St W
Sleepy Eye, MN 56085

Phone

(507) 794-4361

Fax

(507) 794-5195

NPI assigned

Jan 12, 2007

Last updated

Mar 18, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Practice roles

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.

• James W Pollard DDS PC

  • General Acute Care Hospital
  • Boone, IA
  • NPI 1720126527
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1457401291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MAIN ST W",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851329",
            "telephone_number": "507-794-4361",
            "fax_number": "507-794-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN ST W",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "56085",
            "telephone_number": "507-794-4361",
            "fax_number": "507-794-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 South Marshall St",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "IA",
            "postal_code": "50036",
            "country_code": "US",
            "telephone_number": "515-432-3511",
            "fax_number": "515-432-9338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Main St W",
            "address_purpose": "LOCATION",
            "city": "Sleepy Eye",
            "state": "MN",
            "postal_code": "56085",
            "country_code": "US",
            "telephone_number": "507-794-4361",
            "fax_number": "507-794-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08208",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "12571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293480",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sleepy Eye, MN
• Providers in Sleepy Eye, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.