Jason J Setlock, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D07771 Issued in AZ

Practice address

95 Meadow Rd
Buffalo, NY 14216-3613

Phone

(480) 297-6232

NPI assigned

Mar 14, 2007

Last updated

Apr 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 19, 2025 through Feb 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Apex Endodontics, PLLC

  • Dental Clinic/Center
  • Tonawanda, NY
  • NPI 1437494085
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1699808709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MEADOW RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163613",
            "telephone_number": "480-297-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MEADOW RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163613",
            "telephone_number": "480-297-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETLOCK",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "050073",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D07771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jubeenjoli Sonia Service
• Samantha Sessamen, MHC
• Jacob L Sessanna
• Sessions Ny Mental Health Counseling PLLC
• Lauren Alexandra Seth, P.A.
• Seton Imaging Radiology PLLC
• Kimberly M Sewall, OTR
• Yvonne Sewell
• Stacy J Seyler, MCAT, ATR
• Stephanie Jean Seyse, RPH, PHARMD

• Endodontics in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.