Individual provider Active NPI

Jason Randolph Paige, D.D.S.

  • Dentist
  • Richmond, VA
National Provider Identifier
1689687642
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411595 Issued in VA
Practice address
2928 North Ave
Richmond, VA 23222-3600
Phone
(804) 321-4065
Fax
(804) 321-6493
NPI assigned
Aug 14, 2006
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411595 VA Primary

Addresses

Primary practice location

2928 North Ave
Richmond, VA 23222-3600

Mailing address

2928 North Ave
Richmond, VA 23222-3600
Phone (804) 321-4065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20160531000020 VA Order and Referring Only - DentistPractitioner - Dentist 2365732625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401411595VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason R. Paige DDS PC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1689687642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 NORTH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223600",
            "telephone_number": "804-321-4065",
            "fax_number": "804-321-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 NORTH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223600",
            "telephone_number": "804-321-4065",
            "fax_number": "804-321-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "JASON",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.