Active NPI
Jeffrey Hardison Wursten, D.M.D.
- General Practice Dentistry
- Arvada, CO
National Provider Identifier
1306909346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9006
- Practice address
- 6010 Kipling St
Arvada, CO 80004-4969 - Phone
- (303) 420-1199
- Fax
- (720) 377-0483
- NPI assigned
- Dec 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9006 | CO | Primary |
Addresses
Primary practice location
6010 Kipling St
Arvada, CO 80004-4969
Mailing address
6010 Kipling St
Arvada, CO 80004-4969
Phone (303) 420-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93201567 | Medicaid | CO |
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 |
|---|---|---|---|
| 9006 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey H. Wursten D.M.D. P.C. | General Practice | 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.
-
- General Practice Dentistry
- Arvada, CO
- NPI 1568629996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306909346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 KIPLING ST",
"city": "ARVADA",
"state": "CO",
"postal_code": "800044969",
"telephone_number": "303-420-1199",
"fax_number": "720-377-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 KIPLING ST",
"city": "ARVADA",
"state": "CO",
"postal_code": "800044969",
"telephone_number": "303-420-1199",
"fax_number": "720-377-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURSTEN",
"first_name": "JEFFREY",
"middle_name": "HARDISON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93201567",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.