Individual provider Active NPI

James Garriott, DDS

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1073352266
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00206003 Issued in CO
Practice address
2310 E Harmony Rd Ste 103
Fort Collins, CO 80528-3427
Phone
(970) 282-8877
NPI assigned
May 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00206003 CO Primary

Addresses

Primary practice location

2310 E Harmony Rd Ste 103
Fort Collins, CO 80528-3427

Mailing address

281 Willow St Unit 453
Fort Collins, CO 80524-4155
Phone (402) 210-1421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002236 CO Order and Referring Only - DentistPractitioner - Dentist 9032640099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00206003COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Collins Dental Group, LLP PastSince May 26, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1073352266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 WILLOW ST UNIT 453",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244155",
            "telephone_number": "402-210-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E HARMONY RD STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283427",
            "telephone_number": "970-282-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIOTT",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00206003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.