Jason Knapp Judd, DDS MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7662 Issued in AZ

Practice address

1942 E Southern Ave
Mesa, AZ 85204-5245

Phone

(480) 545-7500

NPI assigned

Nov 6, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1649424342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045245",
            "telephone_number": "480-545-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045245",
            "telephone_number": "480-545-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20261 E Ocotillo Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851428806",
            "country_code": "US",
            "telephone_number": "480-284-6630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "JASON",
        "middle_name": "KNAPP",
        "name_prefix": "Dr.",
        "credential": "DDS MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "7662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Juarez, M.A, BCBA
• Kathleen Juarez, RN
• Reita Jenae Juarez, LCSW
• Ayodeji Jubril, MD
• Chance Allan Judd, PA-C
• Linda Judd
• Judy M Pinsonneault, D.O., P.C.
• Julian Dentistry PLLC
• Hayley Jull
• Syeda Jumana, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.