JLS Management LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0651 Issued in CO

Legal business name

JLS MANAGEMENT LLC

Doing business as

Childrens Dental Specialists

Practice address

2789 W Alameda Ave
Denver, CO 80219-3042

Phone

(303) 935-1705

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Strange

Title

President

Phone

(303) 935-1705

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Childrens Dental Specialists Doing business as

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184848194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 W ALAMEDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802193042",
            "telephone_number": "303-935-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 W ALAMEDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802193042",
            "telephone_number": "303-935-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-935-1705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "0651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73375781",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.