Active NPI
Jeanette Marie Courtad, DDS
- Dentist
- Golden, CO
National Provider Identifier
1083823231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7442
- Practice address
- 623 14TH St
Golden, CO 80401-1904 - Phone
- (303) 278-9733
- NPI assigned
- May 22, 2007
- Last updated
- Jun 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7442 | CO | Primary |
Addresses
Primary practice location
623 14TH St
Golden, CO 80401-1904
Mailing address
623 14TH St
Golden, CO 80401-1904
Phone (303) 278-9733
Other names 1
- Dr. Jeanette Flannery Courtad
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7442 | CO | MD | Dentist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1083823231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 14TH ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011904",
"telephone_number": "303-278-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 14TH ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011904",
"telephone_number": "303-278-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTAD",
"first_name": "JEANETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "7442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANETTE",
"last_name": "COURTAD",
"middle_name": "FLANNERY",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.