NPIMap

Organization Active NPI

Jason J. Juarez, D.D.S., Inc.

  • Dentist
  • Defiance, OH
National Provider Identifier
1629335013
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JASON J. JUAREZ, D.D.S., INC.
Practice address
1075 E 2ND St
Defiance, OH 43512-2431
Phone
(419) 782-1126
Fax
(419) 782-8790
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Jason Jesse Juarez, D.D.S.NPI 1083693535
Title
Dentist/Owner
Phone
(419) 782-1126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1075 E 2ND St
Defiance, OH 43512-2431

Mailing address

1075 E 2ND St
Defiance, OH 43512-2431
Phone (419) 782-1126

National Provider Directory

National Provider Directory

Locations

1075 E 2nd St
Defiance, OH 43512
Phone (419) 782-1126

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1629335013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122431",
            "telephone_number": "419-782-1126",
            "fax_number": "419-782-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122431",
            "telephone_number": "419-782-1126",
            "fax_number": "419-782-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON J. JUAREZ, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "419-782-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.