Jason Jia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011403 Issued in AZ

Practice address

16701 N Oracle Rd Ste 151
Tucson, AZ 85739-9102

Phone

(520) 825-4491

NPI assigned

Jun 4, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1720727951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 N ORACLE RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 N ORACLE RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399102",
            "telephone_number": "520-825-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIA",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewish Family and Children'S Service of Southern Arizona, Inc
• Derek Charles Jezulin, DO
• Lalita Rani Jha, MD
• Suo Ji, D.M.D.
• Helen Jia
• Jingya Jiang, L.AC
• Jidland Home Healthcare Corporation
• Joshua Jih, DMD
• Alan Ernesto Jimenez
• Alexis Jimenez, DO

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.