RAZHAN JERRY DMD
NPI 1013846930
Dentist in Nevada, MO

Q: What is Razhan Jerry's NPI number?

The NPI number for Razhan Jerry is 1013846930. It was assigned to this individual provider in the NPPES registry on May 16, 2026.

Q: What is Razhan Jerry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Razhan Jerry was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2026PECOS Enrolled

301 W AUSTIN BLVD, NEVADA, MO 64772(844) 853-8937 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2026, May 23, 2026, May 16, 2026 (3 updates tracked since 2026).

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About Razhan Jerry Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAZHAN JERRY DMD (NPI 1013846930) is an individual dentist in Nevada, Missouri, licensed in Missouri (2026021861) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1013846930

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameRAZHAN JERRYCredential: DMD

Location Address301 W AUSTIN BLVDNevada, MO 64772-3124

Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131

Phone(844) 853-8937

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateMay 16, 2026

Last NPPES UpdateMay 28, 20263 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1013846930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2026021861

Definition

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.

301 W AUSTIN BLVD, Nevada, MO 64772

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Razhan Jerry Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183196629

PECOS Enrollment IDI20260616001047

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Razhan Jerry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Compass Health, Inc

50 mi

Community/Behavioral Health

1800 COMMUNITY
Clinton, MO 64735

Reassigned Medicare billing, Missouri enrollment
968 clinicians in this Medicare group

NPI 1285619494 (660) 885-8131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPASS HEALTH, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))