Organization Active NPI

Jason Dopp DDS PLC

  • Dental Clinic/Center
  • Portage, MI
National Provider Identifier
1831724210
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JASON DOPP DDS PLC
Practice address
1616 W Centre Ave
Portage, MI 49024-5328
Phone
(269) 327-7300
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jason Dopp, DDSNPI 1144388950
Title
Owner/Dentist
Phone
(269) 352-4867

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1616 W Centre Ave
Portage, MI 49024-5328

Mailing address

1616 W Centre Ave
Portage, MI 49024-5328
Phone (269) 327-7300

Other identifiers 1

IdentifierTypeStateIssuer
1144388950OtherGOVERNMENT

National Provider Directory

National Provider Directory

Locations

1616 W Centre Ave
Portage, MI 49024
Phone (269) 327-7300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831724210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245328",
            "telephone_number": "269-327-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245328",
            "telephone_number": "269-327-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON DOPP DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "DOPP",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "269-352-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOVERNMENT",
            "identifier": "1144388950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.