Individual provider Active NPI

Danijela Jankovic, D.D.S.

  • Dentist
  • Lakewood, CO
National Provider Identifier
1285094672
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
202749 Issued in CO
Practice address
7611 W.Colfax Avenue
Suite D
Lakewood, CO 80214
Phone
(970) 262-2273
Fax
(970) 262-3866
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 202749 CO Primary

Addresses

Primary practice location

7611 W.Colfax Avenue
Suite D
Lakewood, CO 80214

Mailing address

7611 W.Colfax Ave,Suite D
Lakewood, CO 80214
Phone (303) 202-0900

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
I20180226000689 CO Order and Referring Only - DentistPractitioner - Dentist 3971864471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202749COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dental Professionals Co PC Past Accepting new patients

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285094672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 W.COLFAX AVE,SUITE D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80214",
            "telephone_number": "303-202-0900",
            "fax_number": "303-202-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 W.COLFAX AVENUE",
            "address_2": "SUITE D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80214",
            "telephone_number": "970-262-2273",
            "fax_number": "970-262-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOVIC",
        "first_name": "DANIJELA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "202749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.