Organization Active NPI

Jeff Johnston

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1013168103
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9096 Issued in CO
Legal business name
JEFF JOHNSTON
Practice address
3600 E Alameda Ave Ste 220
Denver, CO 80209-3190
Phone
(303) 975-6987
Fax
(303) 975-6988
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Jeff Douglas Johnston, DDS
Title
General Dentist
Phone
(303) 975-6987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9096 CO Primary

Addresses

Primary practice location

3600 E Alameda Ave Ste 220
Denver, CO 80209-3190

Mailing address

3600 E Alameda Ave Ste 220
Denver, CO 80209-3190
Phone (303) 975-6987

Other identifiers 1

IdentifierTypeStateIssuer
22270337MedicaidCO

Other names 1

  • Ascent Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ascent Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3600 E Alameda Ave
Ste 220
Denver, CO 80209
Phone (303) 370-1010

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1013168103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E ALAMEDA AVE STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093190",
            "telephone_number": "303-975-6987",
            "fax_number": "303-975-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E ALAMEDA AVE STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093190",
            "telephone_number": "303-975-6987",
            "fax_number": "303-975-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF JOHNSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "303-975-6987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22270337",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascent Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.