Individual provider Active NPI

Jonathan Nasser Jiroudi, DMD

  • Dentist
  • Falcon, CO
National Provider Identifier
1003745191
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00206696 Issued in CO
Practice address
7555 Falcon Market PL Ste 100
Falcon, CO 80831-8594
Phone
(719) 323-6734
NPI assigned
May 15, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00206696 CO Primary

Addresses

Primary practice location

7555 Falcon Market PL Ste 100
Falcon, CO 80831-8594

Mailing address

735 Railscape VW Apt 103
Colorado Springs, CO 80921-4054
Phone (719) 323-6734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00206696COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Falcon and Orthodontics, LLP Dentist PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1003745191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 RAILSCAPE VW APT 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214054",
            "telephone_number": "719-323-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 FALCON MARKET PL STE 100",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318594",
            "telephone_number": "719-323-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIROUDI",
        "first_name": "JONATHAN",
        "middle_name": "NASSER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00206696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.