NPIMap

Organization Active NPI

Jason Jeter & Lagelle Jeter DDS, Inc.

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1699069377
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46614 Issued in CA
Legal business name
JASON JETER & LAGELLE JETER DDS, INC.
Practice address
805 W. Acequia Ave
#2B
Visalia, CA 93291-6164
Phone
(559) 739-8400
Fax
(559) 739-8333
NPI assigned
May 31, 2011
Last updated
May 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Jason L Jeter, DDSNPI 1629113493
Title
Co Owner
Phone
(559) 739-8400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23523 CA
General Practice Dentistry 1223G0001X 46614 CA Primary

Addresses

Primary practice location

805 W. Acequia Ave
#2B
Visalia, CA 93291-6164

Mailing address

805 W. Acequia Ave
#2B
Visalia, CA 93291-6164
Phone (559) 739-8400

National Provider Directory

National Provider Directory

Locations

805 W Acequia Ave
Ste 2B
Visalia, CA 93291
Phone (559) 739-8400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1699069377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W. ACEQUIA AVE",
            "address_2": "#2B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916164",
            "telephone_number": "559-739-8400",
            "fax_number": "559-739-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W. ACEQUIA AVE",
            "address_2": "#2B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916164",
            "telephone_number": "559-739-8400",
            "fax_number": "559-739-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON JETER & LAGELLE JETER DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "559-739-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23523",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.