Jay M. Bass D.D.S. P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005365 Issued in VA

Legal business name

JAY M. BASS D.D.S. P.C.

Practice address

200 E Washington St
Blacksburg, VA 24060

Phone

(540) 552-2551

Fax

(540) 961-9864

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Keith Robertson, DDSNPI 1437217239

Title

Pres

Phone

(540) 552-2551

Specialties & licenses 1

Addresses

Other names 1

• NRV Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Keith Robertson, D.D.S.

  • General Practice Dentistry
  • Blacksburg, VA
  • NPI 1437217239
  NPD (past) Authorized official
• Jay Marshall Bass, DDS

  • General Practice Dentistry
  • Blacksburg, VA
  • NPI 1295996411
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1497944649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-552-2551",
            "fax_number": "540-961-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-552-2551",
            "fax_number": "540-961-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY M. BASS D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "540-552-2551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NRV Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steve E Jacobs, OD
• Anne Jacobsen, LCSW
• Kari James
• Katherine Penney Jamison, PHARMD
• Marcia Beard Jaudon, LCSW
• Jessica Jeffrey, DO
• Bethany Jenkins, LPC
• Heather Jenkins, LCSW
• Johna Moore Jenkins, NP
• Jennifer Price, LCSW, Inc

• General Practice Dentistry in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.