Jason D West, DDS MS

Primary specialty

DentistTaxonomy code 122300000X

License

21111 Issued in TX

Practice address

1011 Medical Plaza Dr
Suite #140
The Woodlands, TX 77380-3249

Phone

(281) 681-2422

Fax

(866) 352-0357

NPI assigned

Nov 17, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 18, 2016 through Aug 18, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Advanced Implant and Periodontal Professionals PA

  • Periodontics
  • The Woodlands, TX
  • NPI 1275812430
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1871667543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE #140",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "281-681-2422",
            "fax_number": "866-352-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE #140",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "281-681-2422",
            "fax_number": "866-352-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana M Wells, D.D.S.
• Mitzi Wells, MOT, OTR
• Katie Lynn Wendt, LPC-A
• Wesley Senior Services
• Cody B West, PT
• Jessica Gideon West, LPC
• Gabriela Belen Westbrook, LMSW
• Stuart P Wetzel, M.D.
• Amy Whalen
• Jon Peyton Wheeler, DDS

• All providers in The Woodlands, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.