Jason Hullett, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

31059 Issued in TX

Practice address

24 Greenway PLZ
Suite 1708
Houston, TX 77046-2401

Phone

(713) 439-7575

Fax

(713) 439-0924

NPI assigned

Aug 16, 2007

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

Opted out of Medicare

Yes, effective Oct 19, 2015 through Oct 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 and National Provider Directory roles.

• Hullett Dental Group, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
  • NPI 1073983755
  NPD (past) Authorized official
• Southwest Oral and Implant

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
  • NPI 1437400678
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1770775322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GREENWAY PLZ",
            "address_2": "SUITE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770462401",
            "telephone_number": "713-439-7575",
            "fax_number": "713-439-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GREENWAY PLZ",
            "address_2": "SUITE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770462401",
            "telephone_number": "713-439-7575",
            "fax_number": "713-439-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLETT",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "62596",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "31059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa J Hull, A.P.N.
• Rachel Anne Hull, NP-C
• Sayuri Hull
• Hullett Dental Group, PLLC
• Anu Hullett, DMD
• Hulman Inc.
• Jonathan R Hulme, MD
• Morgan Hulme, MD
• Sandra Wentzel Huls, APRN
• Lauren Hum, DMD, MD

• Oral and Maxillofacial Surgery (Dentist) in Houston, TX
• Providers in Houston, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.