John P Feeley DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN P FEELEY DMD, PLLC

Practice address

6363 W 120TH Ave Ste 230
Broomfield, CO 80020-3700

Phone

(303) 635-0100

NPI assigned

Jan 3, 2023

Organization subpart

Yes

Parent organization

TOTAL DENTAL HEALTH SOLUTIONSAs reported in NPPES

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

Authorized official

Name

John Feeley, DMDNPI 1114131158

Title

Owner

Phone

(303) 909-4668

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TOTAL DENTAL HEALTH SOLUTIONS Doing business as

Part of

John P Feeley DMD PLLC

Locations

Practitioners 2

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

• John Paul Feeley, D.M.D.

  • Dentist
  • Broomfield, CO
  • NPI 1114131158
  NPD Authorized official
• Lyndon Mata, D.D.S.

  • General Practice Dentistry
  • Broomfield, CO
  • NPI 1912117391
  NPD (past)

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1184337396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 W 120TH AVE STE 230",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203700",
            "telephone_number": "303-635-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 W 120TH AVE STE 230",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203700",
            "telephone_number": "303-635-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P FEELEY DMD, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL DENTAL HEALTH SOLUTIONS",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "FEELEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-909-4668",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114131158",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL DENTAL HEALTH SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lusk LLC
• Sandra Fay Jenson
• Dalacy Jesina, RN
• Frida Jimenez
• Jobsync LLC
• Elsa Johnson, DPT
• Emma Grace Johnson, DPT
• Erin Buxton Johnson, DDS
• Karolyn Johnson, LPCC
• Katherine Julia Johnson, M.A., CF-SLP

• General Practice Dentistry in Broomfield, CO
• Providers in Broomfield, 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 Jan 3, 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.