Individual provider Active NPI

Jordan Sillman, DDS

  • Dentist
  • Commerce City, CO
National Provider Identifier
1245917236
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205663 Issued in CO
Practice address
15151 E 104TH Ave Ste 103
Commerce City, CO 80022-8948
Phone
(303) 287-7000
NPI assigned
Jun 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205663 CO Primary

Addresses

Primary practice location

15151 E 104TH Ave Ste 103
Commerce City, CO 80022-8948

Mailing address

5403 W 96TH Ave Apt 1120
Westminster, CO 80020-5711
Phone (319) 721-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231021000742 CO Order and Referring Only - DentistPractitioner - Dentist 7315393766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reunion Smiles Dentistry and Orthodontics, LLP CurrentSince Jul 2, 2023 Accepting new patients

Locations

15151 E 104th Ave
Ste 103
Commerce City, CO 80022
Phone (303) 287-7000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1245917236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 W 96TH AVE APT 1120",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800205711",
            "telephone_number": "319-721-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 E 104TH AVE STE 103",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228948",
            "telephone_number": "303-287-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLMAN",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

Verify at the official NPI Registry.