Individual provider Active NPI

Jason Ryan Doucette, DMD

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1902834674
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3476 Issued in NV
Practice address
730 Sandhill Rd Ste 200
Reno, NV 89521-8963
Phone
(775) 477-5337
Fax
(775) 360-4131
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3476 NV Primary

Addresses

Primary practice location

730 Sandhill Rd Ste 200
Reno, NV 89521-8963

Mailing address

730 Sandhill Rd Ste 200
Reno, NV 89521-8963
Phone (775) 477-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20260128001243 NV Practitioner - Oral SurgeryPractitioner - Dentist 0941511216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2983 Long Beach Rd
Oceanside, NY 11572-3204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Sleep Solutions LLC CurrentSince Nov 17, 2025 Accepting new patients
Innovative Sleep Concepts General Practice CurrentSince Dec 28, 2017 Accepting new patients
Innovative Dental Solutions, LLC PastSince Feb 7, 2021 Accepting new patients

Locations

730 Sandhill Rd
Ste 200
Reno, NV 89521
Phone (775) 477-5337

730 Baring Blvd
Sparks, NV 89434
Phone (775) 358-1555

Organizations & group practices 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1902834674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SANDHILL RD STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218963",
            "telephone_number": "775-477-5337",
            "fax_number": "775-360-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SANDHILL RD STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218963",
            "telephone_number": "775-477-5337",
            "fax_number": "775-360-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.