Individual provider Active NPI

Jason Adam Straw, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • El Dorado Hills, CA
National Provider Identifier
1629286737
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
52782 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.