NPIMap

Organization Active NPI

JMJ III

  • General Practice Dentistry
  • Woodland Park, CO
National Provider Identifier
1083071047
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5676 Issued in CO
Legal business name
JMJ III
Practice address
491 Forest Edge Rd
Woodland Park, CO 80863-2499
Phone
(719) 687-6366
Fax
(719) 687-6388
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Mrs. Ruth G Bishop
Title
Office Manager
Phone
(719) 687-6366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5676 CO Primary

Addresses

Primary practice location

491 Forest Edge Rd
Woodland Park, CO 80863-2499

Mailing address

491 Forest Edge Rd
Woodland Park, CO 80863-2499
Phone (719) 687-6366

Other names 1

  • Forest Edge Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JMJ III2 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

491 Forest Edge Rd
Woodland Park, CO 80863
Phone (719) 687-6366

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1083071047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 FOREST EDGE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632499",
            "telephone_number": "719-687-6366",
            "fax_number": "719-687-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 FOREST EDGE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632499",
            "telephone_number": "719-687-6366",
            "fax_number": "719-687-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMJ III",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-687-6366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Edge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.