Active NPI
Jeff Johnston
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1013168103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9096
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22270337 | Medicaid | CO |
Other names 1
- Ascent Dental Group
National Provider Directory
National Provider Directory- Tax ID family
- Ascent Dental Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Denver, CO
- NPI 1013457795
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.