Active NPI
Jared Lenox, DDS
- Dentist
- Fort Collins, CO
National Provider Identifier
1093190340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00202609
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Family Health | Current | Accepting new patients | |
| Salud Family Health | Current | 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 | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Fort Lupton, CO
- NPI 1275530388
-
- Federally Qualified Health Center (FQHC)
- Aurora, CO
- NPI 1134766553
-
- Federally Qualified Health Center (FQHC)
- Fort Morgan, CO
- NPI 1740947407
-
- Dental Clinic/Center
- Fort Collins, CO
- NPI 1073129912
-
- Federally Qualified Health Center (FQHC)
- Fort Lupton, CO
- NPI 1386777266
-
- Federally Qualified Health Center (FQHC)
- Trinidad, CO
- NPI 1497393003
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.