DR. JASON EHTESSABIAN (NPI# 1770776809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770776809 |
| Entity Type | Individual |
| Full Name | DR. JASON EHTESSABIAN |
| Credential | D.D.S. |
| Practice Address |
3740 Dacoro Ln Suite 140 Castle Rock CO 80109-2503 |
| Practice Telephone | 3036886630 |
| Practice Fax Number | 3036636534 |
| Mailing Telephone | 3036886630 |
| Mailing Fax Number | 3036636534 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2016-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9520 | CO | Dental Providers |
| Street Address |
3740 DACORO LN SUITE 140 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80109-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093130270 | Meadows Family Dentistry | Dentist | 3740 Dacoro Ln, Castle Rock, CO 80109-2503 | 2014-02-25 |
| 1003250416 | Refresh Snoring and Sleep Apnea Center, PC | Dentist | 3740 Dacoro Ln, Suite #140, Castle Rock, CO 80109-2503 | 2013-04-29 |
| 1922241322 | Scott Douglas Barlow | Physical Therapist | 3740 Dacoro Ln, #105, Castle Rock, CO 80109-2503 | 2009-04-14 |
| 1598924169 | Rock Canyon Foot and Ankle Clinic, LLC | Podiatrist | 3740 Dacoro Ln, Suite 105, Castle Rock, CO 80109-2503 | 2008-06-08 |
| 1356512560 | Jeremy Cade Christensen | Podiatrist | 3740 Dacoro Ln, Suite 105, Castle Rock, CO 80109-2503 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686674 | Castle Rock Surgicenter, LLC | Clinic/Center | 4700 Castleton Way Ste 101, Castle Rock, CO 80109 | 2018-04-17 |
| 1467957746 | Elevation Vision Od Pllc | Optometrist | 658 Genoa Way, Unit B, Castle Rock, CO 80109 | 2018-03-28 |
| 1700229242 | Clare Ingram French | Surgery | 2352 Meadows Blvd Ste 220, Castle Rock, CO 80109 | 2013-04-15 |
| 1467790956 | Celeste Clippinger | Physical Therapist | 3470 Dacoro Lane, Suite 105, Castle Rock, CO 80109 | 2013-01-18 |
| 1003175696 | Candice Jessica Geist | Obstetrics & Gynecology | 2352 Meadows Blvd Ste 255, Castle Rock, CO 80109 | 2012-05-16 |
| 1760756704 | Hilary Sauder | Occupational Therapist | 3427 Dinosaur St, Castle Rock, CO 80109 | 2012-03-07 |
| 1043503568 | James Daniel Jensen | Dermatology | 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109 | 2011-05-17 |
| 1174712152 | Aaron Pierce Goodman | Dentist | 3993 Limelight Ave., E, Castle Rock, CO 80109 | 2007-10-16 |
| 1851437925 | Pamela Rose Kinder | Psychiatry & Neurology | 4350 Limelight Ave., Suite #250, Castle Rock, CO 80109 | 2007-01-29 |
| 1942228457 | Paul A Stone | Podiatrist | 2352 Meadows Blvd Ste 270, Castle Rock, CO 80109 | 2006-07-17 |
| Find all providers in zip 80109 | ||||
| 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 |
|---|---|---|---|---|
| 1245887488 | Kylee Brightside Dds Pllc | Dentist | 1161 S Perry St Ste B100, Castle Rock, CO 80104-1978 | 2019-08-22 |
| 1245616325 | Linda C Ludin Dds PC | Dentist | 2 Oakwood Park Plz Ste 206, Castle Rock, CO 80104-1884 | 2015-07-30 |
| 1932581444 | Lauren Waldkirch Kight | Dentist | 36 E Allen St, Ste 100, Castle Rock, CO 80108-7823 | 2015-06-19 |
| 1821344011 | Amanda Lynn Hudec | Dentist | 755 S Perry St Ste 200, Castle Rock, CO 80104-1923 | 2012-07-25 |
| 1396052619 | David Takashi Sugiyama | Dentist | 1189 S Perry St Ste 250, Castle Rock, CO 80104-1959 | 2010-09-08 |
| 1801058201 | Sanam PC | Dentist | 734 Wilcox St # 2, Castle Rock, CO 80104-1741 | 2008-06-26 |
| 1932386893 | Emergency Dental LLC | Dentist | 734 Wilcox Street, 200, Castle Rock, CO 80104 | 2008-01-23 |
| 1841419009 | Castle Valley Daental PC | Dentist | 610 East 5th St., Ste 300, Castle Rock, CO 80104 | 2007-04-25 |
| 1982725636 | James Matthew Vanorman | Dentist | 718 Maleta Ln, Suite 101, Castle Rock, CO 80108-7679 | 2007-04-02 |
| 1952460875 | Walt Kevin Vogl | Dentist | 2 Oakwood Park Plz, Suite 206, Castle Rock, CO 80104-1884 | 2006-12-06 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80109 |
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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.