NPIMap

Organization Active NPI

Todd M. Juhlin D.D.S., P.C.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Littleton, CO
National Provider Identifier
1003250382
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
10460 Issued in CO
Legal business name
TODD M. JUHLIN D.D.S., P.C.
Practice address
9200 W Cross Dr
Suite 603
Littleton, CO 80123-2239
Phone
(303) 932-7458
Fax
(303) 932-7460
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Todd M. Juhlin, D.D.S.NPI 1033134358
Title
President / Oral Surgeon
Phone
(641) 430-6112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 10460 CO Primary

Addresses

Primary practice location

9200 W Cross Dr
Suite 603
Littleton, CO 80123-2239

Mailing address

9200 W Cross Dr
Suite 603
Littleton, CO 80123-2239
Phone (303) 932-7458

Other identifiers 2

IdentifierTypeStateIssuer
0184226MedicaidIA
1033134358OtherNPI

Other names 1

  • Red Rocks Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1003250382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR",
            "address_2": "SUITE 603",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232239",
            "telephone_number": "303-932-7458",
            "fax_number": "303-932-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR",
            "address_2": "SUITE 603",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232239",
            "telephone_number": "303-932-7458",
            "fax_number": "303-932-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD M. JUHLIN D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "JUHLIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT / ORAL SURGEON",
        "authorized_official_telephone_number": "641-430-6112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "10460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184226",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033134358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rocks Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.