Active NPI
Joshua Werner
- Dentist
- Longmont, CO
National Provider Identifier
1336887215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00205120
- Practice address
- 1631 Pace St Ste B3
Longmont, CO 80504-3055 - Phone
- (303) 684-6524
- NPI assigned
- May 21, 2022
- Last updated
- May 21, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00205120 | CO | Primary |
Addresses
Primary practice location
1631 Pace St Ste B3
Longmont, CO 80504-3055
Mailing address
2320 Gay St
Longmont, CO 80501-1003
Phone (585) 764-5646
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 |
|---|---|---|---|
| DEN.00205120 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Teeth - Pace P.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Longmont, CO
- NPI 1487825147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653091200000",
"number": "1336887215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 GAY ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011003",
"telephone_number": "585-764-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 PACE ST STE B3",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805043055",
"telephone_number": "303-684-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-21",
"last_updated": "2022-05-21",
"certification_date": "2022-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00205120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.