Jason a Pate DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

107472 Issued in NC

Legal business name

JASON A PATE DDS PLLC

Practice address

415 Dunstan Ave
Durham, NC 27707-2321

Phone

(919) 680-3368

Fax

(919) 687-7734

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason A Pate, DDS

Title

Owner

Phone

(919) 680-3368

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1912194952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 DUNSTAN AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072321",
            "telephone_number": "919-680-3368",
            "fax_number": "919-687-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 DUNSTAN AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072321",
            "telephone_number": "919-680-3368",
            "fax_number": "919-687-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A PATE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-680-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "107472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902N2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Jarvis, MD
• David Ward Jarvis, P.A.-C.
• Jessica Small Jarvis, AGACNP-BC
• Kevin Jarvis, PHARMD
• Joan Jasien, M.D.
• Jason P. Slomovitz, DMD, PLLC
• Elaine Jasper
• Karina Javalkar, MD
• Modou Lamin Jawo
• Jessica Shuiyee Jay, PHARMD

• Dentist in Durham, NC
• Providers in Durham, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.