Active NPI
David J Maloley, D.D.S.
- General Practice Dentistry
- Avon, CO
National Provider Identifier
1306897152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10014
- Practice address
- 100 West Beaver Creek Blvd
Suite 232
Avon, CO 81620 - Phone
- (979) 949-3331
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6382 | NE | |
| General Practice Dentistry | 1223G0001X | 8514 | NC | |
| General Practice Dentistry | 1223G0001X | 10014 | CO | Primary |
Addresses
Primary practice location
100 West Beaver Creek Blvd
Suite 232
Avon, CO 81620
Mailing address
PO Box 2916
Avon, CO 81620-2900
Phone (979) 949-3331
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6382 | NE | MD | Clinical Social Worker |
| 8514 | NC | MD | General Practice Dentistry |
| 10014 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1306897152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2916",
"city": "AVON",
"state": "CO",
"postal_code": "816202900",
"telephone_number": "979-949-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WEST BEAVER CREEK BLVD",
"address_2": "SUITE 232",
"city": "AVON",
"state": "CO",
"postal_code": "81620",
"telephone_number": "979-949-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOLEY",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6382",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8514",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.