Jason Daniel Gole, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018425 Issued in MI

Practice address

121 West Wood Lawn Avenue
Hastings, MI 49058

Phone

(269) 948-2244

Fax

(269) 948-2284

NPI assigned

Aug 31, 2006

Last updated

Aug 6, 2020By 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 MI

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

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.

• Gole Dental Group

  • General Practice Dentistry
  • Hastings, MI
  • NPI 1427273457
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1588775274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WEST WOOD LAWN AVENUE",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "49058",
            "telephone_number": "269-948-2244",
            "fax_number": "269-948-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WEST WOOD LAWN AVENUE",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "49058",
            "telephone_number": "269-948-2244",
            "fax_number": "269-948-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLE",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Gladding, LLMSW
• Glenn E Hahn DDS, PC
• Mary B. Godfrey, LMSW
• Gole Dental Group
• Daniel R Gole, D.D.S.
• Philip Daniel Gole, DDS
• Natashia Goodacre
• Dylan Michael Eddy Goodrich
• Jaimie Goodwin
• Melissa Grables, MA

• General Practice Dentistry in Hastings, MI
• Providers in Hastings, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.