Individual provider Active NPI

Jared Lenox, DDS

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1093190340
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202609 Issued in CO
Practice address
202 Bristlecone Dr
Fort Collins, CO 80524-2031
Phone
(970) 416-5331
NPI assigned
Jul 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00202609 CO Primary

Addresses

Primary practice location

202 Bristlecone Dr
Fort Collins, CO 80524-2031

Mailing address

202 Bristlecone Dr
Fort Collins, CO 80524-2031
Phone (970) 416-5331

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
I20210423000121 CO Practitioner - Dentist 9830507284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Family Health CurrentSince May 1, 2021 Accepting new patients
Salud Family Health CurrentSince May 1, 2021 Accepting new patients
Salud Family Health Current Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients
Health Services District of Northern Larimer County PastSince Sep 20, 2020 Accepting new patients

Locations

203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560

5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050

1410 S 7th Ave
Sterling, CO 80751
Phone (970) 526-2589

Organizations & group practices 6

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1093190340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BRISTLECONE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242031",
            "telephone_number": "970-416-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BRISTLECONE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242031",
            "telephone_number": "970-416-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENOX",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.