Joseph D Mazzola DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105437 Issued in CO

Legal business name

JOSEPH D MAZZOLA DDS

Practice address

13606 Xavier LN Ste G
Broomfield, CO 80023-3604

Phone

(303) 466-9533

Fax

(303) 466-2786

NPI assigned

Sep 23, 2015

Last updated

Sep 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph D Mazzola, DDS MAGDNPI 1093932063

Title

Dentist/Owner

Phone

(303) 466-9533

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph D. Mazzola, D.D.S.

  • General Practice Dentistry
  • Broomfield, CO
  • NPI 1093932063
  NPD (past) Authorized official

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1235508078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 XAVIER LN STE G",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233604",
            "telephone_number": "303-466-9533",
            "fax_number": "303-466-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 XAVIER LN STE G",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233604",
            "telephone_number": "303-466-9533",
            "fax_number": "303-466-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D MAZZOLA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "MAZZOLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "303-466-9533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "105437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B. Jones
• Kathryn S Jones, CNIM
• Kevin Scott Jones, MD
• Lisa Jordan, O.D.
• Binu Jose, CCC-SLP
• Journey Inward Counseling LLC
• Joy Phillips Registered Psychotherapist MSW LSW
• JTM Home Care Inc (Griswold Homecare Westminster-Broomfield and Boulder)
• Nicole Jumper, M.S., CCC-SLP
• Justin J Kwon DDS, P.C. (Green Dental)

• Dentist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.