Siona Motufau Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

202301 Issued in CO

Practice address

3222 Highway 6 and 24
Clifton, CO 81520

Phone

(970) 985-7200

NPI assigned

Jun 20, 2014

Last updated

May 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Siona Motufau Jr. DDS Co

  dba Ohana Dental Implant Centers

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Junction, CO
  • NPI 1144078684

  General Practice

  Medicare reassignment NPD Authorized official
• Dr. Siona Motufau Jr. DDS Co

  dba Ohana Dental Implant Centers

  • Oral and Maxillofacial Surgery (Dentist)
  • Cliftion, CO
  • NPI 1023737186

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1114331824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NORTH AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017576",
            "telephone_number": "970-248-8000",
            "fax_number": "970-248-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 HIGHWAY 6 AND 24",
            "city": "CLIFTON",
            "state": "CO",
            "postal_code": "81520",
            "telephone_number": "970-985-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 HWY 6 and 24",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "CO",
            "postal_code": "815207511",
            "country_code": "US",
            "telephone_number": "970-985-7200",
            "fax_number": "970-248-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTUFAU",
        "first_name": "SIONA",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "202301",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202301",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "202301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reese Lansville
• Cynthia Esperanza Lopez, RPH
• Iliana Maria Martinez Lugo
• Marymaid
• Mesa Developmental Services (Strive)
• Kelly Sue Orellana
• Peach Valley Family Medical Center, PC
• Peachtree Assisted Living LLC
• Peachtree Assisted Living LLC
• Pediatric Psychology Services of Colorado (Exploration Kids Therapy)

• General Practice Dentistry in Clifton, CO
• Providers in Clifton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.

Verify at the official NPI Registry.