Boulder Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BOULDER ORTHODONTICS

Practice address

5724 W 89TH Ave
Westminster, CO 80031-2869

Phone

(303) 449-3250

NPI assigned

Sep 8, 2023

Organization subpart

Yes

Parent organization

BOULDER ORTHODONTICSAs reported in NPPES

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

Authorized official

Name

Jamon Jensen, DDSNPI 1548492887

Title

Doctor

Phone

(303) 449-3250

Specialties & licenses 1

Addresses

Other names 1

• Boulder Orthodontics-Westminster Other name

Tax ID family

Boulder Orthodontics2 organizations share this tax ID, including this one

Part of

Boulder Orthodontics

Other organizations with this tax ID 1

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

• Boulder Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Firestone, CO
  • NPI 1063084481
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Boulder Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boulder, CO
  • NPI 1154713402
  NPPES parent name

Practitioners 1

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

• Jamon Jensen, DDS MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Highlands Ranch, CO
  • NPI 1548492887
  NPD Authorized official

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1205613882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023814",
            "telephone_number": "303-449-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 W 89TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312869",
            "telephone_number": "303-449-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULDER ORTHODONTICS",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JAMON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "303-449-3250",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder Orthodontics-Westminster",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nathan Clark Border, CRNA
• Timothy Borg, DDS
• Anne Boris, PH.D.
• Stacey Ramona Boser, BSC, MSC, MD, CCFP
• Alec Bossak, PTA
• Boulder Plastic Surgery Prof LLC
• Boulder Valley Asthma & Allergy Clinics, PC
• Devin Christopher Bourne, DO
• Eric Lee Bouwman, LSW
• James William Bowie

• Orthodontics and Dentofacial Orthopedics Dentistry in Westminster, CO
• Providers in Westminster, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.