Jason Bartlett Couch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61493 Issued in CA

Practice address

6668 Lonetree Blvd
Ste. 100
Rocklin, CA 95765-3752

Phone

(916) 782-4604

Fax

(916) 782-7932

NPI assigned

Jul 20, 2012

Last updated

Feb 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1770838138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6668 LONETREE BLVD",
            "address_2": "STE. 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653752",
            "telephone_number": "916-782-4604",
            "fax_number": "916-782-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6668 LONETREE BLVD",
            "address_2": "STE. 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653752",
            "telephone_number": "916-782-4604",
            "fax_number": "916-782-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "JASON",
        "middle_name": "BARTLETT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jina Rosemarie Coronado
• Makayla Annalee Coronado
• Arianna Correa
• Leanna Cosgrove, MS, SLP
• Tatum Bree Costello
• County of Placer
• County of Placer
• Danielle A Covell, M.S., OTR/L
• Sarah Cox
• Amanda Cozington, PPS

• General Practice Dentistry in Rocklin, CA
• Providers in Rocklin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.