NPIMap

Organization Active NPI

Jeff Johnston DDS PC

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1013457795
Registry record updated Mar 3, 2017
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 DDS PC
Practice address
4500 East Cherry Creek Dr South
100
Denver, CO 80246
Phone
(303) 975-6987
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. Jeff Johnston, DDSNPI 1235207200
Title
Owner / Dentist
Phone
(303) 975-6987

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9096 CO Primary

Addresses

Primary practice location

4500 East Cherry Creek Dr South
100
Denver, CO 80246

Mailing address

4500 E Cherry Creek Dr South
100
Denver, CO 80246
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

4500 E Cherry Creek South Dr
Ste 100
Glendale, CO 80246
Phone (303) 975-6987

Practitioners & affiliated clinicians

Practitioners 1

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": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1013457795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E CHERRY CREEK DR SOUTH",
            "address_2": "100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-975-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 EAST CHERRY CREEK DR SOUTH",
            "address_2": "100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-975-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF JOHNSTON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER / 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 Mar 3, 2017; 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.