Active NPI
Jason Adam Straw, D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- El Dorado Hills, CA
National Provider Identifier
1629286737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 52782
- Practice address
- 4420 Town Center Blvd Ste 250
El Dorado Hills, CA 95762-7138 - Phone
- (916) 933-3332
- Fax
- (916) 358-8639
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 52782 | CA | Primary |
Addresses
Primary practice location
4420 Town Center Blvd Ste 250
El Dorado Hills, CA 95762-7138
Mailing address
4420 Town Center Blvd Ste 250
El Dorado Hills, CA 95762-7138
Phone (916) 933-3332
Other practice location 1
16300 Sand Canyon Ave Ste 711
Irvine, CA 92618-3707
Phone (949) 727-7000
Other practice location 2
3168 Turner St Ste 200
Placerville, CA 95667-5756
Phone (530) 626-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629286737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 TOWN CENTER BLVD STE 250",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957627138",
"telephone_number": "916-933-3332",
"fax_number": "916-358-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 TOWN CENTER BLVD STE 250",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957627138",
"telephone_number": "916-933-3332",
"fax_number": "916-358-8639"
}
],
"practiceLocations": [
{
"address_1": "16300 Sand Canyon Ave Ste 711",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926183707",
"country_code": "US",
"telephone_number": "949-727-7000",
"fax_number": "949-727-3924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3168 Turner St Ste 200",
"address_purpose": "LOCATION",
"city": "Placerville",
"state": "CA",
"postal_code": "956675756",
"country_code": "US",
"telephone_number": "530-626-3300",
"fax_number": "530-626-0889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRAW",
"first_name": "JASON",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "52782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.