Jason D Roe, DDS, FACP

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

22741 Issued in TX

Practice address

5136 Village Creek Dr Ste 501
Plano, TX 75093-4460

Phone

(972) 931-1777

Fax

(972) 931-8259

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Jason D Roe, DDS, PLLC

  • Prosthodontics
  • Plano, TX
  • NPI 1437887254
  NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1992715148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 VILLAGE CREEK DR STE 501",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934460",
            "telephone_number": "972-931-1777",
            "fax_number": "972-931-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 VILLAGE CREEK DR STE 501",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934460",
            "telephone_number": "972-931-1777",
            "fax_number": "972-931-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22741",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "22741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Jacob Rodriguez
• Nicholas Rodriguez, DDS, MPH
• Sarah Joy Rodriguez, D.C
• Yazmin Rodriguez
• Yessenia Rodriguez
• Larie Roe, FNP-C
• Kristina Roehrig, PNPPC
• Michael Roehrig
• Dawn Lea Cunningham Roether, RN, LP
• Joel A Roffman, MD

• Prosthodontics in Plano, TX
• Providers in Plano, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.