Individual provider Active NPI

Jean Allyn Dhority, CPM

  • Midwife
  • Elizabeth, CO
National Provider Identifier
1043335656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
3511257 Issued in CO
Practice address
555 Verdos Dr
Elizabeth, CO 80107-8547
Phone
(303) 646-1350
Fax
(303) 646-1356
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

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.

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
3511257COMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Midwifery Care, Inc Midwife Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 3511257 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

555 Verdos Dr
Elizabeth, CO 80107-8547

Mailing address

555 Verdos Dr
Elizabeth, CO 80107-8547
Phone (303) 646-1350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043335656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 VERDOS DR",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801078547",
            "telephone_number": "303-646-1350",
            "fax_number": "303-646-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 VERDOS DR",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801078547",
            "telephone_number": "303-646-1350",
            "fax_number": "303-646-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHORITY",
        "first_name": "JEAN",
        "middle_name": "ALLYN",
        "name_prefix": "Mrs.",
        "credential": "CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "3511257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.