Jennifer L Staas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401410233 Issued in VA

Practice address

10500 Atlee Station Road
Ashland, VA 23005

Phone

(804) 550-3324

Fax

(804) 550-1936

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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.

• Adams, Adams, and Epperly DDS PC

  • Dentist
  • Richmond, VA
  • NPI 1598851578
  NPD (past)
• Virginia Family Dentistry PC

  • General Practice Dentistry
  • Midlothian, VA
  • NPI 1750435970
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 18, 2014 through Mar 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992859128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 HUGUENOT ROAD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-794-9789",
            "fax_number": "804-794-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 ATLEE STATION ROAD",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "23005",
            "telephone_number": "804-550-3324",
            "fax_number": "804-550-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C. Smith Jr., D.D.S
• Leila Smith, PTA
• Max Henry Smith, PTA
• Brian Wayne Spears, D.D.S.
• Specialty Nutrition and Health
• Brigite Marie Stark, NP
• Lindsey Steadman
• Stepping Stone Chiropractic, PC
• Kim Sterling
• Setera Leigh Stevens, LPC

• All providers in Ashland, VA
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.