Organization Active NPI

Jason Aanenson, DDS, PC

  • General Practice Dentistry
  • Freeman, SD
National Provider Identifier
1790835015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M-879 Issued in SD
Legal business name
JASON AANENSON, DDS, PC
Practice address
105 E. 5TH Street
Freeman, SD 57029
Phone
(605) 925-4999
Fax
(605) 925-4196
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jason Aanenson, D.D.S.NPI 1952473720
Title
Owner
Phone
(605) 925-4999

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X M-879 SD Primary

Addresses

Primary practice location

105 E. 5TH Street
Freeman, SD 57029

Mailing address

105 E. 5TH Street
PO Box 219
Freeman, SD 57029
Phone (605) 925-4999

National Provider Directory

National Provider Directory

Locations

105 E 5th St
Freeman, SD 57029
Phone (605) 925-4999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790835015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E. 5TH STREET",
            "address_2": "PO BOX 219",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "57029",
            "telephone_number": "605-925-4999",
            "fax_number": "605-925-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E. 5TH STREET",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "57029",
            "telephone_number": "605-925-4999",
            "fax_number": "605-925-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON AANENSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AANENSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-925-4999",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M-879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeman, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.