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DR. JASON LANIER OUTLAW DMD, DMSC
NPI 1184144651
Dentist in Boston, MA

Active since June 26, 2017PECOS Enrolled
1575 BLUE HILL AVE, BOSTON, MA 02126(617) 296-0061 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2020, Apr 22, 2020, Jun 26, 2017 (3 updates tracked since 2017).

About Dr. Jason Lanier Outlaw Dmd, Dmsc NPPES

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

DR. JASON LANIER OUTLAW DMD, DMSC (NPI 1184144651) is an individual dentist in Boston, Massachusetts, licensed in Massachusetts (DN1858198) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184144651
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JASON LANIER OUTLAWCredential: DMD, DMSC
Location Address1575 BLUE HILL AVEBoston, MA 02126-2122
Mailing Address25 Dorchester Ave, #51237Boston, MA 02205 · (312) 731-5818
Phone(617) 296-0061
Sole ProprietorNo
Enumeration DateJune 26, 2017
Last NPPES UpdateMay 6, 20203 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1184144651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1858198
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1575 BLUE HILL AVE, Boston, MA 02126
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Secondary Practice Locations 2

Location 1637 Washington StDorchester, MA 02124-3510 · Phone (617) 822-8142
Location 297 Bethany RdFramingham, MA 01702-7237 · Phone (508) 872-6750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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)

Dr. Jason Lanier Outlaw Dmd, Dmsc 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 02126 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

SAMSON YU
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
DR. MICHELLE DALENCOUR M.D.
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
CVS PHARMACY INC
Pharmacy
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
ZHEN RUAN
Dental Hygienist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
EMILY CASTELLANOS
Counselor (Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
MS. SHAUNTELLE MALCOLM RN
Nurse Practitioner (Psychiatric/Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
VICTORIA ELENA OLIVA RAPOPORT MD
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
TIN DANG
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Outlaw's NPI number?

The NPI number for Jason Outlaw is 1184144651. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Jason Outlaw located?

Jason Outlaw practices at 1575 Blue Hill Ave, Boston, MA 02126. The listed phone number is (617) 296-0061.

What is Jason Outlaw's specialty?

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

Is Jason Outlaw enrolled in Medicare?

Yes. Jason Outlaw is registered in the Medicare PECOS enrollment system.

What insurance does Jason Outlaw accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jason Outlaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Outlaw was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.