DR. JASON HULLETT (NPI# 1770775322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770775322 |
| Entity Type | Individual |
| Full Name | DR. JASON HULLETT |
| Credential | DMD |
| Practice Address |
24 Greenway Plz Suite 1708 Houston TX 77046-2401 |
| Practice Telephone | 7134397575 |
| Practice Fax Number | 7134390924 |
| Mailing Telephone | 7134397575 |
| Mailing Fax Number | 7134390924 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
31059 | TX | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
62596 | CA | Dental Providers |
| Street Address |
24 GREENWAY PLZ SUITE 1708 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77046-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285030718 | Empire Diagnostics LLC | Clinic/Center | 24 Greenway Plz, Suite 1705, Houston, TX 77046-2401 | 2014-11-11 |
| 1528333267 | Kara Nicole Cantu | Physician Assistant | 24 Greenway Plz, 1204, Houston, TX 77046-2401 | 2012-03-14 |
| 1306154026 | Amanda S. Fischer | Physician Assistant | 24 Greenway Plz, Suite 1204, Houston, TX 77046-2401 | 2010-09-15 |
| 1538325600 | Richard B. Pesikoff, M.d. & Associates | Psychiatry & Neurology | 24 Greenway Plz, Suite 1204, Houston, TX 77046-2401 | 2008-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316235500 | Candice Aycox | Nurse Practitioner | 9 East Greenway Plaza, Suite 2950, Houston, TX 77046 | 2011-07-21 |
| 1124355052 | Susan Cooley King | Nurse Practitioner | 9 Greenway Plaza, Suite 2950, Houston, TX 77046 | 2009-11-13 |
| 1750348348 | Karen Hill | Internal Medicine | 9 Greenway Plaza, Suite 2950, Rediclinic, Houston, TX 77046 | 2006-04-27 |
| 1659365195 | Jaime F Recasens | Dermatology | 24 Greenway Plaza, Suite 950 Weslayan Tower, Houston, TX 77046 | 2005-09-09 |
| 1811060411 | Nanette S Stephens | Psychologist | 24 Greenway Plaza, Suite 1703, Houston, TX 77046 | 2006-11-15 |
| 1598154320 | Baylor College of Medicine | Anesthesiology | Two Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2015-01-16 |
| 1801291919 | Baylor College of Medicine | Anesthesiology | 2 Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2014-10-31 |
| 1629473731 | Baylor College of Medicine | Anesthesiology | 2 Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2014-10-31 |
| 1447386446 | Amanda Nell Gunn | Nurse Anesthetist, Certified Registered | 2 Greenway Plz Ste 300, Houston, TX 77046-0207 | 2007-02-26 |
| 1457507931 | Athis Arunachalam | Pediatrics | 2 Greenway Plz Ste 300, Houston, TX 77046-0207 | 2008-08-15 |
| Find all providers in zip 77046 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932655388 | Ahmad Millwala Omfs Pllc | Dentist | 16226 Pinon Vista Dr, Houston, TX 77095-7196 | 2016-08-26 |
| 1972956571 | Chad R Seabold Dds Md | Dentist | 4550 Post Oak Place Dr Ste 160, Houston, TX 77027-3127 | 2016-07-19 |
| 1043668007 | North Houston Oral Surgery Group,pllc | Dentist | 152 Fm 1960 Rd, Suite D, Houston, TX 77073-1815 | 2016-06-01 |
| 1033580436 | West Houston Oral Surgery Group Pllc | Dentist | 12121 Richmond Ave Ste 316, Houston, TX 77082-2437 | 2015-10-12 |
| 1063897387 | Memorial Oral and Maxillofacial Surgery | Dentist | 7700 San Felipe St Ste 220, Houston, TX 77063-1612 | 2015-07-28 |
| 1568851277 | James R Peoples, Dds, Pllc | Dentist | 10497 Town and Country Way Ste 410, Houston, TX 77024-1130 | 2015-01-19 |
| 1265879019 | Dr. Sean Kim Dds Md Pllc | Dentist | 1800 W 26th St Ste 205, Houston, TX 77008-1450 | 2013-06-03 |
| 1467709865 | Summerwood Oral & Maxillofacial Surgery | Dentist | 13141 W Lake Houston Pkwy, Ste. 700, Houston, TX 77044 | 2012-08-06 |
| 1194011833 | Davin Joseph Schmidt | Dentist | 7500 Cambridge St Ste 6510, Houston, TX 77054-2032 | 2011-06-21 |
| 1518262112 | John D Smith Dds & Joseph J Chen Dds Inc | Dentist | 11455 Fallbrook Dr Ste 302, Houston, TX 77065-4268 | 2011-01-13 |
| Find all providers in HOUSTON | ||||
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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.