Jason Dodge, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40058 Issued in TX

Practice address

3201 University Dr E Ste 170
Bryan, TX 77802-3476

Phone

(979) 774-1255

NPI assigned

Sep 28, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jdodge28535@direct.chickasawnationhealth.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Care Plus Dental Associates

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1811056112
  NPD (past)
• Eagle River Dental Associates

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1841616216
  NPD (past)
• Chickasaw Nation Division of Health

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923
  NPD (past)
• Chickasaw Nation Division of Health

  • Primary Care Clinic/Center
  • Tishomingo, OK
  • NPI 1649330242
  NPD (past)

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1477332302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CENTURY SQUARE DR APT 255",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404172",
            "telephone_number": "210-792-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 170",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023476",
            "telephone_number": "979-774-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "JASON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Dickson, M.D.
• Sabrina Seare Dicus, DPT
• James S Distefano, DO
• DJ Global Solutions LLC
• Amanda K Dock, CCC-SLP
• Matthew Jason Doles, ATC, LAT
• Kristine Donnelly, D.D.S.
• Doss Physical Rehabilitation Associates LLC
• David Doss
• William Lafayette Doss, M.D.

• Dentist in Bryan, TX
• Providers in Bryan, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.