Organization Active NPI

Green Valley Ranch Cosmetic & Family Dental

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1275862393
Registry record updated Dec 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10061 Issued in CO
Legal business name
GREEN VALLEY RANCH COSMETIC & FAMILY DENTAL
Practice address
4809 Argonne St
Denver, CO 80249-6834
Phone
(303) 501-0763
Fax
(303) 317-8191
NPI assigned
Dec 20, 2009
Last updated
Dec 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2009

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

Authorized official

Name
Dr. Jason N Whiting, DMD
Title
Owner
Phone
(303) 501-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10061 CO Primary

Addresses

Primary practice location

4809 Argonne St
Denver, CO 80249-6834

Mailing address

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 501-0763

Other identifiers 1

IdentifierTypeStateIssuer
1265421077OtherWYINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261267200000",
    "number": "1275862393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-501-0763",
            "fax_number": "303-317-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-501-0763",
            "fax_number": "303-317-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY RANCH COSMETIC & FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-20",
        "last_updated": "2009-12-20",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-501-0763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265421077",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2009; 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.