Individual provider Active NPI

Jonathan L Olivier, DDS

  • General Practice Dentistry
  • Thornton, CO
National Provider Identifier
1124248653
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8476 Issued in CO
Practice address
12880 Colorado Blvd.
Suite 230
Thornton, CO 80241
Phone
(303) 457-1513
Fax
(303) 280-2922
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8476 CO Primary

Addresses

Primary practice location

12880 Colorado Blvd.
Suite 230
Thornton, CO 80241

Mailing address

12880 Colorado Blvd.
Suite 230
Thornton, CO 80241
Phone (303) 457-1513

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

LicenseStateTypeSpecialty
8476COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Center, PC General Practice CurrentSince Aug 27, 2023 Accepting new patients
The Dental Center PLLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

12880 Colorado Blvd
Ste 230
Thornton, CO 80241
Phone (303) 457-1513

3984 E 120th Ave
Thornton, CO 80233
Phone (303) 457-1513

Organizations & group practices 2

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1124248653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 COLORADO BLVD.",
            "address_2": "SUITE 230",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80241",
            "telephone_number": "303-457-1513",
            "fax_number": "303-280-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 COLORADO BLVD.",
            "address_2": "SUITE 230",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80241",
            "telephone_number": "303-457-1513",
            "fax_number": "303-280-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.