Individual provider Active NPI

Taher Dhoon, DMD

  • Dentist
  • Greeley, CO
National Provider Identifier
1205198983
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202333 Issued in CO
Practice address
5214 W 20TH St
Greeley, CO 80634-3038
Phone
(970) 352-4242
Fax
(970) 352-4246
NPI assigned
Jun 8, 2012
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6421 OK
Dentist 122300000X 00202333 CO Primary

Addresses

Primary practice location

5214 W 20TH St
Greeley, CO 80634-3038

Mailing address

5214 W 20TH St
Greeley, CO 80634-3038
Phone (970) 352-4242

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
00202333COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Surgical Institute PLLC Current Accepting new patients
Colorado Surgical Institute PLLC CurrentSince Sep 1, 2024 Accepting new patients
Taher Dhoon DMD PLLC Dentist CurrentSince Sep 13, 2020 Accepting new patients
Greeley Dental Care GPS PLLC PastSince Aug 25, 2024 Accepting new patients

Locations

1813 61st Ave
Ste 210
Greeley, CO 80634
Phone (970) 351-6166

5214 W 20th St
Greeley, CO 80634
Phone (970) 235-1748

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1205198983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343038",
            "telephone_number": "970-352-4242",
            "fax_number": "970-352-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343038",
            "telephone_number": "970-352-4242",
            "fax_number": "970-352-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHOON",
        "first_name": "TAHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6421",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.