Individual provider Active NPI

Jason J Aleman, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, IL
National Provider Identifier
1972780948
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Practice address
997 Clock Tower Dr
Springfield, IL 62704-1301
Phone
(217) 546-9600
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X IL Primary

Addresses

Primary practice location

997 Clock Tower Dr
Springfield, IL 62704-1301

Mailing address

997 Clock Tower Dr
Springfield, IL 62704-1301
Phone (217) 546-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 25, 2015 through Feb 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019026771ILMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Toothmover Orthodontics Current Accepting new patients

Locations

997 Clock Tower Dr
Springfield, IL 62704
Phone (217) 546-8330

997 Clock Tower Dr
Ste B
Springfield, IL 62704
Phone (217) 546-9600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1972780948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 CLOCK TOWER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041301",
            "telephone_number": "217-546-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 CLOCK TOWER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041301",
            "telephone_number": "217-546-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEMAN",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.