DR. JASON BOOTH (NPI# 1659393023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659393023 |
| Entity Type | Individual |
| Full Name | DR. JASON BOOTH |
| Credential | D.M.D. |
| Practice Address |
15294 W Brookside Ln Ste 100 Surprise AZ 85374-3999 |
| Practice Telephone | 6233767400 |
| Practice Fax Number | 6233767489 |
| Mailing Telephone | 6233767400 |
| Mailing Fax Number | 6233767489 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5542 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548557721 | Jason Matthew Booth | Anesthesiology | 600 Mary Street, Evansville, IN 47747-0001 | 2011-07-07 |
| 1215236443 | Jason Andrew Booth | Family Medicine | 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | 2011-03-28 |
| 1861460495 | Jason Booth | Family Medicine | 3933 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3869 | 2006-03-09 |
| Street Address |
15294 W BROOKSIDE LN STE 100 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-3999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649303785 | Surprise Endodontics | Dentist | 15294 W Brookside Ln, Suite 100, Surprise, AZ 85374-3999 | 2007-03-14 |
| 1619000841 | Francisco Javier Castano | Dentist | 15294 W Brookside Ln, Suite 100, Surprise, AZ 85374-3999 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| 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 |
|---|---|---|---|---|
| 1548678113 | Erik John Foisy | Dentist | 15294 W Brookside Ln Ste 100, Surprise, AZ 85374-2446 | 2014-07-28 |
| 1649303785 | Surprise Endodontics | Dentist | 15294 W Brookside Ln, Suite 100, Surprise, AZ 85374-3999 | 2007-03-14 |
| 1619000841 | Francisco Javier Castano | Dentist | 15294 W Brookside Ln, Suite 100, Surprise, AZ 85374-3999 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005688 | Ocotillo Lakes Endodontics, LLC | Dentist | 3200 S Alma School Rd Ste 203, Chandler, AZ 85248-3773 | 2018-12-24 |
| 1952800542 | Acacia Endondontic Partners LLC | Dentist | 1300 N Mcclintock Dr Ste B2, Chandler, AZ 85226-7241 | 2018-02-08 |
| 1295242618 | Precision Endodontics LLC | Dentist | 2034 E Southern Ave Ste C, Tempe, AZ 85282-7511 | 2018-01-08 |
| 1366962995 | Mesa Endodontics Pllc | Dentist | 2855 E Brown Rd Ste 15, Mesa, AZ 85213-4216 | 2017-06-25 |
| 1295281525 | West Valley Endodontics and Oral Surgery Inc | Dentist | 14122 W. Mcdowell Rd., 201, Goodyear, AZ 85395 | 2016-08-28 |
| 1083005136 | Baseline Dental, PC | Dentist | 2030 W Baseline Rd Ste 176, Phoenix, AZ 85041-6574 | 2015-02-11 |
| 1457767758 | Brandi L. Molina | Dentist | 702 E Bell Rd Ste 111, Phoenix, AZ 85022-6639 | 2014-07-08 |
| 1255762175 | Stephen L. Walker Dds Pllc | Dentist | 2220 W Southern Ave Ste 102, Mesa, AZ 85202-4706 | 2013-12-03 |
| 1538590484 | Mountain View Endodontics | Dentist | 10750 W Mcdowell Rd Ste A250, Avondale, AZ 85392-5979 | 2013-12-03 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| 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.