Individual provider Active NPI

Jason Adam Follett, DMD

  • Dentist
  • Enterprise, OR
National Provider Identifier
1962633917
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9543 Issued in OR
Practice address
204 Residence St
Enterprise, OR 97828-1607
Phone
(541) 426-3531
Fax
(541) 426-8411
NPI assigned
Aug 6, 2009
Last updated
Apr 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9543 OR Primary

Addresses

Primary practice location

204 Residence St
Enterprise, OR 97828-1607

Mailing address

204 Residence St
Enterprise, OR 97828-1607
Phone (541) 426-3531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20150617003152 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7810134087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a Follett DMD PC PastSince Dec 27, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1962633917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RESIDENCE ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281607",
            "telephone_number": "541-426-3531",
            "fax_number": "541-426-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 RESIDENCE ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281607",
            "telephone_number": "541-426-3531",
            "fax_number": "541-426-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLETT",
        "first_name": "JASON",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, OR

Sources for this page

Verify at the official NPI Registry.