DR. JASON SCOTT ALLEN (NPI# 1477743334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477743334 |
Entity Type | Individual |
Full Name | DR. JASON SCOTT ALLEN |
Credential | D.D.S. |
Practice Address |
12078 San Jose Blvd Ste 3 Jacksonville FL 32223-8671 |
Practice Telephone | 3013357393 |
Mailing Telephone | 3013357393 |
Enumeration Date | 2007-07-27 |
Last Update Date | 2016-11-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN 20216 | FL | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
23309 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861051831 | Jason Allen | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 120 Longfellow Dr, Lafayette, LA 70503-6611 | 2019-06-12 |
1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
1518492297 | Jason Allen | Counselor | 602 Park Edge Cir, Windsor, CO 80550-3255 | 2017-05-01 |
1023557386 | Jason Allen | Registered Nurse | 6817 Southpoint Pkwy Ste 203, Jacksonville, FL 32216-6286 | 2017-02-20 |
1174987846 | Jason Carl Allen | Chiropractor | 900 Harvey Rd, Ste 9b, College Station, TX 77840-3556 | 2016-04-08 |
1194955658 | Jason Adams Allen | Anesthesiology | 265 W Union St Ste B, Athens, OH 45701-2313 | 2009-07-19 |
1770783078 | Jason Allen | Naturopath | 14419 Greenwood Ave N, A175, Seattle, WA 98133-6865 | 2007-07-24 |
1215997069 | Jason C Allen | Podiatrist | 1701 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-6600 | 2006-03-24 |
1134662729 | Jason Allen | Physician Assistant | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2016-11-30 |
1457720583 | Jason Allen | Massage Therapist | 31 S Beretania St, Honolulu, HI 96813-2220 | 2015-09-18 |
Street Address |
12078 SAN JOSE BLVD STE 3 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32223-8671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
Find all providers in zip 32223 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023351152 | Gary R Manasse | Dentist | 8708 Perimeter Park Blvd., #3, Jacksonville, FL 32216 | 2013-03-27 |
1073737912 | Barry Howard Stevens | Dentist | 2365 Park St, Jacksonville, FL 32204-4317 | 2007-04-12 |
1730201286 | Arthur Ross Young | Dentist | 4211 Southpoint Pkwy, Suite A, Jacksonville, FL 32216-0975 | 2007-04-04 |
1881736064 | Marion C Eldridge Jr. | Dentist | 12078 San Jose Blvd, Suite 3, Jacksonville, FL 32223-1842 | 2007-02-13 |
1528172160 | Jeffrey W. Bowden, D.d.s., P.a. | Dentist | 5218 Jammes Rd, Suite C, Jacksonville, FL 32210-7700 | 2006-08-19 |
1558475947 | Leandro Rodrigues Britto | Dentist | 5218 Jammes Rd Ste C, Jacksonville, FL 32210-7740 | 2006-08-19 |
1689630758 | Claudio H. Varella | Dentist | 8810 Goodbys Executive Dr, Suite 2, Jacksonville, FL 32217-4699 | 2006-04-26 |
1275503765 | Benson J. Ybanez Dds and Associates Pa | Dentist | 50 Office Park Drive, Jacksonville, NC 28546 | 2006-01-25 |
1649251760 | Andrew James Calhoun | Dentist | 7043 Southpoint Pkwy S, Suite A, Jacksonville, FL 32216-8741 | 2005-11-07 |
1427397058 | Frederico Tepedino Dmd Pa | Dentist | 7645 Gate Pkwy, Suite 103, Jacksonville, FL 32256-2889 | 2013-02-01 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32223 |
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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.