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JASON AARON DEWITT D.D.S.
NPI 1447371984
Dentist - Oral and Maxillofacial Surgery in Lafayette, IN

Active since April 03, 2007Opted out of Medicare · through Oct 1, 2027
2204 SCOTT ST, LAFAYETTE, IN 47904(765) 447-0525(765) 447-5815 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Aaron Dewitt D.d.s. NPPES

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

JASON AARON DEWITT D.D.S. (NPI 1447371984) is an individual oral and maxillofacial surgery provider in Lafayette, Indiana, licensed in Indiana (12010545A) and active in the NPI registry since April 2007. He has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1447371984
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJASON AARON DEWITTCredential: D.D.S.
Location Address2204 SCOTT STLafayette, IN 47904-2933
Mailing Address2204 Scott StLafayette, IN 47904-2933 · (765) 447-0525 · Fax (765) 447-5815
Phone(765) 447-0525
Fax(765) 447-5815
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateSeptember 28, 2010
✔ NPI 1447371984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 12010545A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2204 SCOTT ST, Lafayette, IN 47904
Open in Google Maps ↗

Other Identifiers 1

Other12010545AIN · Dental License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jason Aaron Dewitt D.d.s. 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 October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. DAVID BRIAN COATES D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2204 SCOTT ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 447-0525
ORAL SURGERY OFFICE LLC
Dentist (Oral and Maxillofacial Surgery)
2204 SCOTT ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 447-0525

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 Dewitt's NPI number?

The NPI number for Jason Dewitt is 1447371984. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Jason Dewitt located?

Jason Dewitt practices at 2204 Scott St, Lafayette, IN 47904. The listed phone number is (765) 447-0525.

What is Jason Dewitt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jason Dewitt enrolled in Medicare?

No. Jason Dewitt has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jason Dewitt was last updated on September 28, 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.