Jeffrey Dale Astroth, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7092 Issued in CO

Practice address

1635 N Ursula St
Aurora, CO 80045

Phone

(770) 848-0687

NPI assigned

Aug 20, 2006

Reactivated

Jul 29, 2008

Last updated

Jul 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1043325756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N URSULA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "770-848-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N URSULA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "770-848-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTROTH",
        "first_name": "JEFFREY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-07-29",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7092",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenny Astling, MSW
• Michelle Astringer
• Edwin J. Asturias, MD
• Eugenia Dennis Asuming, NP
• Theresa Asuquo, MD, MPH
• Mohammad Abbas Ataee
• Teketel Atamo, PHARMACIST

• Dentist in Aurora, CO
• Providers in Aurora, CO by specialty
• Dentist in Colorado

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