Active NPI
Jason Ehtessabian PLLC
- General Practice Dentistry
- Lone Tree, CO
National Provider Identifier
1700530664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JASON EHTESSABIAN PLLC
- Practice address
- 9980 Park Meadows Dr Ste 102
Lone Tree, CO 80124-8404 - Phone
- (720) 868-0888
- NPI assigned
- Feb 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Ehtessabian, DDS
- Title
- Owner
- Phone
- (720) 868-0888
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
9980 Park Meadows Dr Ste 102
Lone Tree, CO 80124-8404
Mailing address
9980 Park Meadows Dr Ste 102
Lone Tree, CO 80124-8404
Phone (720) 868-0888
Other names 1
- Dental Sleep Apnea and Snoring
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220606000288 | CO | DME Supplier - Oral Surgery - Dentist | 6103204078 | Practice locations: Lone Tree, CO |
National Provider Directory
National Provider Directory- Tax ID family
- Jason Ehtessabian PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Castle Rock, CO
- NPI 1215874490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Castle Rock, CO
- NPI 1770776809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1700530664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9980 PARK MEADOWS DR STE 102",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801248404",
"telephone_number": "720-868-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9980 PARK MEADOWS DR STE 102",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801248404",
"telephone_number": "720-868-0888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON EHTESSABIAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-09",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A",
"authorized_official_last_name": "EHTESSABIAN",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-868-0888",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Sleep Apnea and Snoring",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.