Jason B Ingber, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16729 Issued in MI

Practice address

4664 W Walton Blvd
Waterford TWP, MI 48329-3537

Phone

(248) 674-0418

Fax

(248) 674-4518

NPI assigned

Nov 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metropolitan Dental Center of Waterford PC

  • Dentist
  • Waterford, MI
  • NPI 1790851970
  NPD
• Metropolitan Dental Center of Pontiac PC

  • Dentist
  • Pontiac, MI
  • NPI 1003982224
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1801969225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4664 W WALTON",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48329",
            "telephone_number": "248-674-0418",
            "fax_number": "248-674-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4664 W WALTON BLVD",
            "city": "WATERFORD TWP",
            "state": "MI",
            "postal_code": "483293537",
            "telephone_number": "248-674-0418",
            "fax_number": "248-674-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGBER",
        "first_name": "JASON",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "16729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123166271",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Eden Langer Berlin, LMSW
• Countryview Case Management LLC.
• Dental House - Waterford, PLLC
• Kelli Ford
• Sara Helmi
• Chase A Lundin, DDS
• Michel Jahmal Lundy, DDS
• Thanh Huu Phan, MD

• Dentist in Waterford TWP, MI
• Providers in Waterford TWP, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.