Active NPI
Jason Matthew Ames, D.M.D
- Dentist
- Cumming, GA
National Provider Identifier
1710171400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013609
- Practice address
- 202 Tribble Gap Road
104
Cumming, GA 30040 - Phone
- (678) 455-3360
- NPI assigned
- Sep 5, 2007
- Last updated
- Nov 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013609 | GA | Primary |
Addresses
Primary practice location
202 Tribble Gap Road
104
Cumming, GA 30040
Mailing address
202 Tribble Gap Road
104
Cumming, GA 30040-2540
Phone (678) 455-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013609 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1710171400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 TRIBBLE GAP ROAD",
"address_2": "104",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402540",
"telephone_number": "678-455-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 TRIBBLE GAP ROAD",
"address_2": "104",
"city": "CUMMING",
"state": "GA",
"postal_code": "30040",
"telephone_number": "678-455-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMES",
"first_name": "JASON",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- American Arthritis & Rheumatology Associates-Ga, LLC
- American Health Imaging of Georgia, LLC (American Health Imaging of Cumming, LLC)
- American Integrative Medicine LLC (Darji Clinic)
- American Oncology Partners, P.a. (Cancer & Blood Specialists of Georgia)
- Americans Thrive Foundation
- Amity One Care LLC
- Carey Elisabeth Amos Sweat, OTR/L
- Tyler Inchul An, D.O.
- Sengsouriya Ananthasane, DMD
- Sanaa Mahmoud Anbarserri, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.