DR. JASON KNAPP JUDD (NPI# 1649424342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649424342 |
| Entity Type | Individual |
| Full Name | DR. JASON KNAPP JUDD |
| Credential | DDS MSD |
| Practice Address |
1942 E Southern Ave Mesa AZ 85204-5245 |
| Practice Telephone | 4805457500 |
| Mailing Telephone | 4805457500 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7662 | AZ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20261 E Ocotillo Rd Ste 130, Queen Creek, AZ 851428806 | 4802846630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285778019 | Jason Edward Judd | Chiropractor | 530 W Fir St, Suite A, Sequim, WA 98382-3284 | 2007-02-16 |
| 1033323209 | Jason R Judd | Counselor | 204 Cook Rd, Lebanon, OH 45036-9600 | 2007-05-09 |
| Street Address |
1942 E SOUTHERN AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091342 | East Valley Orthodontics | Dentist | 1635 N Greenfield Rd Ste 103, Mesa, AZ 85205-4010 | 2018-11-06 |
| 1255758983 | Braces R Us | Dentist | 1702 S Val Vista Dr # 101, Mesa, AZ 85204-7304 | 2014-03-19 |
| 1851644504 | Embraceable Az LLC | Dentist | 1130 S Country Club Dr, Suite 101, Mesa, AZ 85210-4639 | 2012-10-18 |
| 1023276649 | S. Ryan Young, Dmd Cags Pllc | Dentist | 1702 S Val Vista Dr, Suite 101, Mesa, AZ 85204-7304 | 2008-05-30 |
| 1952585507 | Alan Mark Petersen | Dentist | 6755 E Superstition Springs Blvd Ste 201, Mesa, AZ 85206-4374 | 2007-12-18 |
| 1144410259 | James H Plets | Dentist | 2150 South Dobson Road, Suite #3, Mesa, AZ 85202 | 2007-07-26 |
| 1467674481 | Jack G Wright | Dentist | 453 W 5th St, Mesa, AZ 85201-5703 | 2007-05-02 |
| 1578694659 | Gregory Garn | Dentist | 2835 E Brown Rd Ste 102, Mesa, AZ 85213-5470 | 2007-03-08 |
| 1952479230 | Steven Ryan Young | Dentist | 1702 S Val Vista Dr Ste 101, Mesa, AZ 85204-7304 | 2006-12-02 |
| 1437234135 | Keith Macdonald | Dentist | 5753 E Brown Rd, Suite 101, Mesa, AZ 85205-4411 | 2006-10-25 |
| Find all providers in MESA | ||||
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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.