Active NPI
Jacquelyn Voss, DDS
- General Practice Dentistry
- Longmont, CO
National Provider Identifier
1255717682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 00202636
- Practice address
- 519 Longs Peak Ave
Longmont, CO 80501-4951 - Phone
- (303) 758-2066
- Fax
- (303) 758-2550
- NPI assigned
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 00202636 | CO | Primary |
Addresses
Primary practice location
519 Longs Peak Ave
Longmont, CO 80501-4951
Mailing address
12985 W Montana Dr
Lakewood, CO 80228-4244
Phone (303) 359-7312
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00202636 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1255717682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12985 W MONTANA DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802284244",
"telephone_number": "303-359-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 LONGS PEAK AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014951",
"telephone_number": "303-758-2066",
"fax_number": "303-758-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSS",
"first_name": "JACQUELYN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-07",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00202636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.