DR. JASON A FORD (NPI# 1154614295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154614295 |
| Entity Type | Individual |
| Full Name | DR. JASON A FORD |
| Credential | D.M.D |
| Practice Address |
155 Barnwood Dr Edgewood KY 41017-2585 |
| Mailing Address |
965 Ally Way Independence KY 41051-6507 |
| Practice Telephone | 8596671398 |
| Mailing Telephone | 2703041068 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2018-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 30-023774 | OH | Dental Providers |
| Y | 122300000X | Dentist | 9028 | KY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427422450 | Jason Ford | Physical Therapy Assistant | 2312 Foxglen Ct, Fort Worth, TX 76131-1715 | 2015-11-13 |
| 1609293240 | Jason Ford | Licensed Practical Nurse | 1317 Rose of Sharon Ct, Pleasant Garden, NC 27313-8216 | 2014-03-20 |
| 1376663187 | Jason Ford | Pediatrics | 336 29th St Ste 201, Ashland, KY 41101-1932 | 2007-03-29 |
| 1801981949 | Jason Thomas Ford | Dentist | 70 Doctors Park Dr, Santa Rosa, CA 95405 | 2006-10-04 |
| 1871026708 | Jason Ford | Hospitalist | 259 1st St, Mineola, NY 11501-3957 | 2017-04-07 |
| 1104163708 | Jason Donald Ford | Counselor | 516 N Kaweah Ave, Exeter, CA 93221-1200 | 2013-01-16 |
| 1386932697 | Jason D Ford | Nurse Practitioner | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 | 2011-07-20 |
| 1679885792 | Jason Lee Ford | Massage Therapist | 1165 Pearl St, Eugene, OR 97401-3521 | 2010-07-06 |
| 1467622449 | Jason Edward Ford | Dentist | 2533 Larkin Rd, Suite 101, Lexington, KY 40503-3278 | 2008-03-06 |
| 1659555993 | Jason M Ford | Radiology | 1111 Ronald Reagan Pkwy, Radiology Rm 11078, Avon, IN 46123-7085 | 2007-12-21 |
| Street Address |
155 BARNWOOD DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-2585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205971082 | Kevin Robert Mcmahon | Dentist | 155 Barnwood Dr, Suite 1, Edgewood, KY 41017-2585 | 2007-02-20 |
| 1033695010 | Taryn Wilson | Dentist | 155 Barnwood Dr, Edgewood, KY 41017-2585 | 2018-07-13 |
| 1861749640 | Troy James Kramer | Dentist | 155 Barnwood Dr, Edgewood, KY 41017-2585 | 2012-08-10 |
| 1528181534 | Dale Gordon Gutman | Dentist | 155 Barnwood Dr, Suite 1, Edgewood, KY 41017-2585 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881999761 | Dennis W. Jackson | Dentist | 164 Square H Rd, Edgewood, NM 87015-9538 | 2011-01-24 |
| 1417076522 | Peter Y Chien | Dentist | 2222 Meridian Ave E Ste C, Edgewood, WA 98371-1032 | 2007-03-28 |
| 1346311321 | Thomas F Goeke | Dentist | 610 Medical Village Dr, Edgewood, KY 41017-3416 | 2006-11-13 |
| 1366549024 | Robert Lee Pollard | Dentist | 2101 Meridian Ave E, Edgewood, WA 98371-1008 | 2006-09-17 |
| 1194383752 | Craig Testerman | Dentist | 7 Municipal Way, Edgewood, NM 87015-7086 | 2019-05-30 |
| 1346556040 | Shamaine Spencer | Dentist | 8 Medical Center Rd, Edgewood, NM 87015-7086 | 2010-08-19 |
| 1649597824 | Chesapeake Contemporary Dentistry, P.a. | Dentist | 1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504 | 2010-04-27 |
| 1164645859 | Keith Edwin Moomaw | Dentist | 1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504 | 2007-04-11 |
| 1881723559 | Patrick M Nutini Psc | Dentist | 3005 Dixie Hwy, Suite 250, Edgewood, KY 41017 | 2007-03-05 |
| 1134103211 | Louis R Bush | Dentist | 8 Medical Center Rd, Edgewood, NM 87015-7086 | 2005-12-02 |
| Find all providers in EDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.