DR. JASON REESOR (NPI# 1578934717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578934717 |
| Entity Type | Individual |
| Full Name | DR. JASON REESOR |
| Credential | D.D.S. |
| Practice Address |
326 S Melrose Dr Suite 101 Vista CA 92081-6618 |
| Mailing Address |
4007 Crescent Point Rd Carlsbad CA 92008-3610 |
| Practice Telephone | 7602166886 |
| Mailing Telephone | 6614775168 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 65207 | CA | Dental Providers |
| Street Address |
326 S MELROSE DR SUITE 101 |
| City | VISTA |
| State | CA |
| Zip Code | 92081-6618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871966390 | Tri-city Dental Excellence | Dentist | 326 S Melrose Dr, Vista, CA 92081-6618 | 2015-11-05 |
| 1043493158 | Sandra Sands, D.o., Ph.d., Inc. | Clinic/Center | 326 S Melrose Dr, Units A & B, Vista, CA 92081 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| Find all providers in zip 92081 | ||||
| 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 |
|---|---|---|---|---|
| 1871147983 | Ronny Le Dental Corporation | Dentist | 1350 E Vista Way Ste 10, Vista, CA 92084-4037 | 2019-07-26 |
| 1467005819 | Ladan Behzadi | Dentist | 435 S Melrose Dr Ste 105, Vista, CA 92081-6661 | 2019-07-24 |
| 1780174961 | Western Dental Services, Inc. | Dentist | 1450 N Santa Fe Ave Ste A&c, Vista, CA 92083-3203 | 2018-05-14 |
| 1598283525 | Rachel Bui | Dentist | 950 Civic Center Dr, Vista, CA 92083-5208 | 2017-08-30 |
| 1093182768 | Paulette Louise O'connor | Dentist | 1631 S Melrose Dr Ste I, Vista, CA 92081-2405 | 2015-08-28 |
| 1114305075 | Luu Dental Corporation | Dentist | 985 S Santa Fe Ave Ste 5, Vista, CA 92083-6912 | 2015-05-12 |
| 1639508948 | Sahari-rashti Dental Corporation | Dentist | 985 S Santa Fe Ave, Vista, CA 92083-6912 | 2013-11-06 |
| 1891069522 | Carlos Enrique Sibaja | Dentist | 895 E Vista Way # C, Vista, CA 92084-5237 | 2012-02-27 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1205156122 | Hasan A Daoud | Dentist | 1691 W Knapp Dr, Vista, CA 92083-1989 | 2010-06-02 |
| Find all providers in VISTA | ||||
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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.