Jason Matthew Phelps, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

086998 Issued in IA

Practice address

301 Wambold Dr
Winterset, IA 50273-8029

Phone

(515) 462-5755

NPI assigned

Mar 13, 2007

Last updated

Aug 7, 2023By 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

Enrolled in IN

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James D. Elliott DDS PLLC

  • General Practice Dentistry
  • Winterset, IA
  • NPI 1811551393
  NPD
• Madison County Dental Partners LLP

  • General Practice Dentistry
  • Winterset, IA
  • NPI 1952083065
  NPD (past)
• Dental Professionals of Indiana, P.C.

  dba Richmond Family Dentistry

  • General Practice Dentistry
  • Richmond, IN
  • NPI 1750593802
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1841323896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 HUSKY DR",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502732282",
            "telephone_number": "765-993-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WAMBOLD DR",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502738029",
            "telephone_number": "515-462-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "086998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montross Pharmacy Inc
• Emily K Nadler, PA-C
• Jeffrey Todd Olson
• Gwen Genette Bigelow Oswald, DDS
• Carly Marie Parker, ARNP
• January Post
• Denise Lea Potterfield
• QHC Madison Square LLC
• QHC Winterset North LLC (Winterset Care Center North)
• QHC Winterset South LLC (Winterset Care Center South)

• General Practice Dentistry in Winterset, IA
• Providers in Winterset, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.