DR. JASON CONDRO DDS
NPI 1942628920
Dentist in Nogales, AZ

Q: What is Jason Condro's NPI number?

The NPI number for Jason Condro is 1942628920. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Jason Condro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jason Condro was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 07, 2014PECOS Enrolled

1852 N MASTICK WAY, NOGALES, AZ 85621(520) 375-5032(520) 761-2159 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2024, Nov 1, 2022 (2 updates tracked since 2022).

On this page

About Dr. Jason Condro Dds NPPES

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

DR. JASON CONDRO DDS (NPI 1942628920) is an individual dentist in Nogales, Arizona, licensed in Arizona (D009145) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942628920

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JASON CONDROCredential: DDS

Location Address1852 N MASTICK WAYNogales, AZ 85621-1063

Mailing Address825 N Grand Ave Ste 100Nogales, AZ 85621-1061 · (520) 761-2133 · Fax (520) 281-1112

Phone(520) 375-5032

Fax(520) 761-2159

Sole ProprietorNo

Enumeration DateApril 7, 2014

Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1942628920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D009145

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.

1852 N MASTICK WAY, Nogales, AZ 85621

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Other Identifiers 1

Medicaid046491AZ

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Condro 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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Condro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mariposa Community Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

1852 N MASTICK WAY
Nogales, AZ 85621

Reassigned Medicare billing, Arizona enrollment
60 clinicians in this Medicare group

NPI 1417985474 (520) 281-1550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85621 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

MARIPOSA COMMUNITY HEALTH CENTER, INC

Radiology (Diagnostic Radiology)