JASON W. EVISON, D.D.S., P.C. (NPI# 1205147444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205147444 |
| Entity Type | Organization |
| Organization Name | JASON W. EVISON, D.D.S., P.C. |
| Practice Address |
1621 Tongass Ave Suite 103 Ketchikan AK 99901-6013 |
| Practice Telephone | 9072258228 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | DR. JASON W EVISON (DIRECTOR) |
| Authorized Official Telephone | 9072258228 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1235 | AK | Dental Providers |
| Street Address |
1621 TONGASS AVE SUITE 103 |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-6013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547869 | Jeanne Marie Snyder | Family Medicine | 1621 Tongass Ave, Suite 304, Ketchikan, AK 99901-6013 | 2006-05-22 |
| 1871781625 | Jason William Evison | Dentist | 1621 Tongass Ave, Suite 103, Ketchikan, AK 99901-6013 | 2007-10-05 |
| 1952482572 | Thomas B. Nordtvedt, Dds, Apc | Dentist | 1621 Tongass Ave, Suite 103, Ketchikan, AK 99901-6013 | 2006-10-18 |
| 1063593671 | Thomas B Nordtvedt | Dentist | 1621 Tongass Ave, Ste 103, Ketchikan, AK 99901 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457412397 | J Terry Thompson | Dentist | 602 Dock St, Ste 102, Ketchikan, AK 99901-6530 | 2006-12-13 |
| 1265536379 | David A Albertson | Dentist | 130 Carlanna Lake Road, Ketchikan, AK 99901 | 2006-09-11 |
| 1447670393 | Kristin Santroch | Dentist | 2960 Tongass Ave, Ketchikan, AK 99901 | 2014-04-18 |
| 1134323983 | George Elwood Shaffer | Dentist | 306 Main St, #202, Ketchikan, AK 99901-6430 | 2007-06-14 |
| 1952482572 | Thomas B. Nordtvedt, Dds, Apc | Dentist | 1621 Tongass Ave, Suite 103, Ketchikan, AK 99901-6013 | 2006-10-18 |
| 1063593671 | Thomas B Nordtvedt | Dentist | 1621 Tongass Ave, Ste 103, Ketchikan, AK 99901 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760034524 | Erin Winters | Dentist | 3706 Swenson Ave, Fairbanks, AK 99709-4643 | 2019-07-11 |
| 1063064863 | Alan Bartelli | Dentist | 1700 E Bogard Rd Ste 204, Wasilla, AK 99654-6563 | 2019-07-11 |
| 1568024388 | North Coast Dental LLC | Dentist | 2020 Abbott Rd Ste 1, Anchorage, AK 99507-4624 | 2019-07-01 |
| 1558852954 | Soldotna Family Dental | Dentist | 36297 Kenai Spur Hwy, Soldotna, AK 99669-7106 | 2018-05-22 |
| 1215433768 | Ryan P. Ersland, D.m.d. LLC | Dentist | 2525 Gambell St Ste 304a, Anchorage, AK 99503-2838 | 2018-04-03 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1841713872 | John Trimble | Dentist | 660 3rd Ave, Suite C, Bethel, AK 99559 | 2017-07-21 |
| 1255853388 | Brett Croft Kocherhans | Dentist | 1401 S Seward Meridian Pkwy Ste E, Wasilla, AK 99654-8312 | 2017-07-11 |
| 1295271492 | Maurice J Welch Dds A Professional Corporation | Dentist | 4450 Cordova St Ste 210, Anchorage, AK 99503-7273 | 2017-01-11 |
| 1043767940 | Southcentral Foundation | Dentist | 11495 N. Callison Street, Sutton, AK 99674 | 2016-09-08 |
| Find all providers with the same taxonomy | ||||
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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.