DR. JASON EDWARD SUDATI D.M.D.
NPI 1407886310
Dentist - General Practice in Manchester, NH
About Dr. Jason Edward Sudati D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JASON EDWARD SUDATI D.M.D. (NPI 1407886310) is an individual general practice provider in Manchester, New Hampshire, licensed in New Hampshire (03648) and active in the NPI registry since July 2006. He has opted out of Medicare through March 29, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jason Edward Sudati D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 29, 2016 through March 29, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Sudati's NPI number?
The NPI number for Jason Sudati is 1407886310. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Jason Sudati located?
Jason Sudati practices at 316 S Main St, Manchester, NH 03102. The listed phone number is (603) 627-1301.
What is Jason Sudati's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jason Sudati enrolled in Medicare?
No. Jason Sudati has opted out of Medicare through March 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Jason Sudati accept?
Health plans from Northeast Delta Dental list Jason Sudati 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 Sudati was last updated on November 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Jason Edward Sudati, D.M.D. · NPI 1407886310
General Practice provider in Manchester, New Hampshire. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1407886310 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 03648 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 316 S MAIN ST, Manchester, NH 03102-4842
- **Phone:** (603) 627-1301
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 19, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1407886310) · Data from the CMS NPPES public registry.