Juan Materon

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUAN MATERON

Doing business as

Tu Sonrisa Dental

Practice address

11275 E Mississippi Ave Ste 1E3
Aurora, CO 80012-2818

Phone

(720) 440-2233

Fax

(303) 557-6102

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Mary Lou A Posada

Title

Credentialing Specialist

Phone

(720) 276-3046

Specialties & licenses 1

Addresses

Other names 1

• Tu Sonrisa Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan C Materon, DDS

  • Dentist
  • Aurora, CO
  • NPI 1023120813
  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1093303117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE STE 1E3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122818",
            "telephone_number": "720-440-2233",
            "fax_number": "303-557-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE STE 1E3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122818",
            "telephone_number": "720-440-2233",
            "fax_number": "303-557-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN MATERON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "POSADA",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-276-3046",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tu Sonrisa Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joy Transport LLC
• Joy Transportation
• Ellen Catherine Joyce
• Jessica Joyce
• Joyful Carepros LLC
• Scott Christopher Juarez, LPC
• Theresa Louise Juarez
• Jason H Juba, OD
• Breanna Rae Juda, NP
• Laura Judd-Glossy, PH.D.

• Dental Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.