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Jason John Tupper , BDS

Dentist - General Practice β€’ Edwardsville, IL

Active NPI 1457088965 Individual Practitioner Male Practitioner
Practice location in NPPES

600 Country Club Vw Ste 4
Edwardsville, IL 620253638

Call 6183073267 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

600 Country Club Vw Ste 4

Edwardsville, IL 620253638

Telephone 6183073267
Organization at the Same NPPES Address or Phone
Harvey H Breckner D.m.d.,m.s Facility NPI 1447415757

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Memphis, TN; Saint Charles, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $155.09 across 2 records.

By nature of payment

  • Food and Beverage: $155.09 across 2 records.

Reporting-company totals

  • Geistlich Pharma, North America, Inc.: $130.89 across 1 record.
  • Solventum Corporation: $24.20 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Edwardsville and Illinois

11 active clinicians are listed under Dentist - General Practice with a practice address in Edwardsville, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edwardsville

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $155.09.

Manufacturer Payment Nature Product Type Amount ($)
Geistlich Pharma, North America, Inc.
Food and Beverage
Cash or cash equivalent
Biomaterials General $130.89
Solventum Corporation
Food and Beverage
Cash or cash equivalent
Filtek General $24.20

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MO 2025011907

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.

Dentist - Prosthodontics

NUCC Taxonomy Code: 1223P0700X

License # reported to NPPES IL 019.036573

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

University Of Tennessee Health Science Centre, 875 Union Ave Dunn Building,

Memphis, TN 38103

Phone: 9014486468

1 Westbury Dr Ste 310

Saint Charles, MO 633012560

Phone: 6367236071

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Harvey Breckner , DMD, MS

Dentist - Prosthodontics

NPI 1962663245

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location October 22, 2025

Registered at 600 COUNTRY CLUB VW STE 4, EDWARDSVILLE, IL 620253638 (Tel: 6183073267)

πŸ“
Updated Business Mailing Address October 22, 2025

Registered at 4101 LACLEDE AVE UNIT 211, SAINT LOUIS, MO 631082998

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Dentist (license number reported to NPPES: MO 2025011907)

πŸ”„
NPI Profile Reactivated November 28, 2023

Record officially reactivated for active practice on November 28, 2023

πŸ“
Updated Practice Location November 28, 2023

Registered at UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTRE, 875 UNION AVE DUNN BUILDING,, MEMPHIS, TN 38103 (Tel: 9014486468)

πŸ“
Updated Business Mailing Address November 28, 2023

Registered at 395 SOUTH HIGHLAND STREET, MEMPHIS, TN 38111

πŸ‘€
Provider Name / Credentials Updated November 28, 2023

Recorded as JASON TUPPER, BDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2023

Student in an Organized Health Care Education/Training Program

⚠️
NPI Profile Deactivated March 13, 2023

NPPES lists this NPI as deactivated as of March 13, 2023; the reason is not published.

βœ…
NPI Profile Active August 04, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2022

Registered at UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTRE, 875 UNION AVE DUNN BUILDING,, MEMPHIS, TN 38103 (Tel: 9014486468)

πŸ“
Business Mailing Address (Initial Record) August 04, 2022

Registered at 395 SOUTH HIGHLAND STREET, MEMPHIS, TN 38111

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2022

Recorded as JASON TUPPER, BDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 04, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457088965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2022
Last Update: October 22, 2025
Sole Proprietor: Yes

Other Dentist - General Practices in Edwardsville

All Dentist - General Practices in Edwardsville

Mailing Address

4101 Laclede Ave Unit 211

Saint Louis, MO 631082998

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.