Jason Kiangsoontra, DDS, MS, FACP
NPI 1114364551 · Prosthodontics · Gainesville, VA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason Kiangsoontra, DDS, MS, FACP is a Prosthodontics provider in Gainesville, VA (NPI 1114364551).
Provider details
- NPI number
- 1114364551
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS, MS, FACP
- Sex
- Male
- Sole proprietor
- No
- License
- R558 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 515 Delaware St Se9-176 Moos Health Science TowerMinneapolis, MN 55455-0357Phone: (612) 615-3195Fax: (612) 626-2655
Registry dates
- Enumerated
- 2013-05-24
- Last updated
- 2018-12-08
Frequently asked questions
- What is Jason Kiangsoontra's NPI number?
- Jason Kiangsoontra's National Provider Identifier (NPI) is 1114364551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Kiangsoontra's specialty?
- Jason Kiangsoontra is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).
- Where is Jason Kiangsoontra located?
- Jason Kiangsoontra's practice location on file with NPPES is 7521 Virginia Oaks Dr Ste 230, Gainesville, VA 20155-3831.
- What is Jason Kiangsoontra's phone number?
- The practice phone number listed in the NPPES registry for Jason Kiangsoontra is (703) 754-7151.
- Does Jason Kiangsoontra accept Medicare?
- Jason Kiangsoontra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jason Kiangsoontra's NPI active?
- Yes — Jason Kiangsoontra's NPI (1114364551) is active in the NPPES registry as of the last update on 2018-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.