JASON BLAINE PITTMAN DDS
NPI 1104987171
Dentist - General Practice in Bristol, TN

Active since December 13, 2006PECOS Enrolled
401 MARTIN LUTHER KING JR BLVD, BRISTOL, TN 37620(423) 968-4422(423) 968-3477 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2021, Jan 25, 2017, Mar 1, 2016 (3 updates tracked since 2016).

About Jason Blaine Pittman Dds NPPES

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

JASON BLAINE PITTMAN DDS (NPI 1104987171) is an individual general practice provider in Bristol, Tennessee, licensed in Tennessee (DS8239) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104987171
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJASON BLAINE PITTMANCredential: DDS
Location Address401 MARTIN LUTHER KING JR BLVDBristol, TN 37620-3588
Mailing Address401 Martin Luther King Jr BlvdBristol, TN 37620-3588 · (423) 968-4422 · Fax (423) 968-3477
Fax(423) 968-3477
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 11, 20213 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
NPI 1104987171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · DS8239
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

401 MARTIN LUTHER KING JR BLVD, Bristol, TN 37620

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jason Blaine Pittman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 2

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

Dentist (General Practice)
401 MARTIN LUTHER KING JR BLVD
BRISTOL, TN 37620
Dental Hygienist
401 MARTIN LUTHER KING JR BLVD
BRISTOL, TN 37620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104987171, enumerated as an "individual" on December 13, 2006.

The provider is located at 401 MARTIN LUTHER KING JR BLVD BRISTOL, TN 37620 and the phone number is (423) 968-4422.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.