Individual provider Active NPI

Jason Lawrence, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hudson, OH
National Provider Identifier
1821447624
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30.025268 Issued in OH
Practice address
5655 Hudson Dr Ste 310
Hudson, OH 44236-4454
Phone
(330) 342-0930
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4062 WV
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30.025268 OH Primary

Addresses

Primary practice location

5655 Hudson Dr Ste 310
Hudson, OH 44236-4454

Mailing address

63 Wharf St
Suite 100
Morgantown, WV 26501-5937
Phone (304) 542-2710

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlawrence@birchriverortho.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30.025268OHMDOrthodontics and Dentofacial Orthopedic Dentist
4062WVMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason M Lawrence DDS Ms Inc Orthodontics and Dentofacial Orthopedics CurrentSince Jan 8, 2023 Accepting new patients
Reed Orthodontics, Inc Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

5655 Hudson Dr
Ste 310
Hudson, OH 44236
Phone (330) 342-0930

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1821447624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WHARF ST",
            "address_2": "SUITE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265015937",
            "telephone_number": "304-542-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 310",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364454",
            "telephone_number": "330-342-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "4062",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.025268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlawrence@birchriverortho.com",
            "affiliation": "N",
            "address_1": "5655 Hudson Dr Ste 310",
            "city": "Hudson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442364454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.