Jason Dashow, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

108819 Issued in AK

Practice address

4200 Lake Otis Pkwy Ste 202
Anchorage, AK 99508-5226

Phone

(907) 764-4760

Fax

(907) 764-4762

NPI assigned

Jun 26, 2009

Last updated

Jun 20, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• All Alaska Oral & Craniofacial Surgery, P.C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Anchorage, AK
  • NPI 1851857098

  Single Specialty

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1962630087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-764-4760",
            "fax_number": "907-764-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-764-4760",
            "fax_number": "907-764-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHOW",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AK",
            "license": "108546",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AK",
            "license": "108819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Dargan
• Darin Anderson, LLC
• Daniel Darko
• Aishatu Darno
• Daryl M. McClendon, M.D., P.C.
• Jeremy B Daube, PHARMD
• Kaitlyn Michelle Daugharty
• Larry Calvin Daugherty, M.D.
• Gregory Daum, DO
• Samantha Daum, DO

• Oral & Maxillofacial Surgery (D.M.D.) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.