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DR. JASON RANDALL ACEVEDO DDS
NPI 1326127663
Dentist - General Practice in South Lake Tahoe, CA

Active since November 06, 2006
3461 LAKE TAHOE BLVD, #1, SOUTH LAKE TAHOE, CA 96150(530) 544-1050(530) 544-1709 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Randall Acevedo Dds NPPES

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

DR. JASON RANDALL ACEVEDO DDS (NPI 1326127663) is an individual general practice provider in South Lake Tahoe, California, licensed in California (51539) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1326127663
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JASON RANDALL ACEVEDOCredential: DDS
Location Address3461 LAKE TAHOE BLVD, #1South Lake Tahoe, CA 96150
Mailing Address3461 Lake Tahoe Blvd, #1South Lake Tahoe, CA 96150 · (530) 544-1050 · Fax (530) 544-1709
Phone(530) 544-1050
Fax(530) 544-1709
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326127663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 51539
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.
3461 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Accepted Insurance

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

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.

T. RUTNER DDS DENTAL CORPORATION
Dentist
3461 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 544-3426
NICOLE H. BUELL, D.D.S. INC.
Clinic/Center (Dental)
3461 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 544-1050

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 Acevedo's NPI number?

The NPI number for Jason Acevedo is 1326127663. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Jason Acevedo located?

Jason Acevedo practices at 3461 Lake Tahoe Blvd #1, South Lake Tahoe, CA 96150. The listed phone number is (530) 544-1050.

What is Jason Acevedo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jason Acevedo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jason Acevedo 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 Acevedo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.