Organization Active NPI

Dr. Tyler H. Jolley, DMD PC Doing Business As Jolley Smiles

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Junction, CO
National Provider Identifier
1144540444
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES
Practice address
601 28 1/4 Rd Unit E
Grand Junction, CO 81506-6022
Phone
(970) 523-6333
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Tonja Cronkhite
Title
Insurance Coordinator
Phone
(970) 523-6333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9143 CO
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

601 28 1/4 Rd Unit E
Grand Junction, CO 81506-6022

Mailing address

601 28 1/4 Rd Unit E
Grand Junction, CO 81506-6022
Phone (970) 523-6333

National Provider Directory

National Provider Directory
Tax ID family
Dr Tyler H Jolley DMD PC Doing Business As Jolley Smiles5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1144540444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 28 1/4 RD UNIT E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066022",
            "telephone_number": "970-523-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 28 1/4 RD UNIT E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066022",
            "telephone_number": "970-523-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "CRONKHITE",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "970-523-6333"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9143",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.