HMJ PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7249 Issued in CO

Legal business name

HMJ PC

Doing business as

Park Avenue Dental

Practice address

230 Park Ave
Fort Lupton, CO 80621-1928

Phone

(303) 857-2258

NPI assigned

Oct 29, 2014

Last updated

Oct 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. H Jebril, DDS

Title

Officer

Phone

(303) 466-7438

Specialties & licenses 1

Addresses

Other names 1

• Park Avenue Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hanaa Jebril, D.D.S.

  • Dentist
  • Fort Lupton, CO
  • NPI 1346266947
  NPD (past)
• Steven Michael Moore, D.D.S.

  • General Practice Dentistry
  • Fort Lupton, CO
  • NPI 1396840468
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1336544642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 W 112TH CT",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317199",
            "telephone_number": "303-466-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PARK AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211928",
            "telephone_number": "303-857-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "JEBRIL",
        "authorized_official_first_name": "H",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "303-466-7438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Avenue Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan A Hanson, DH
• George Hartman III, R.PH
• Susan Hayes, DNP, FNP
• Edward Hendrikson, PA
• Alexandria Grace Hess, NP
• Irene Margaret Holloman, DDS
• Haley Marilyn Houtchens
• Jill A Jackson, RN
• Hanaa Jebril, D.D.S.
• Sarah Kirby Johnson, NP-C

• General Practice Dentistry in Fort Lupton, CO
• Providers in Fort Lupton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.