Jon Lawrence Whiteley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105400 Issued in CO

Practice address

215 S Poplar St
Denver, CO 80230-6958

Phone

(303) 550-9787

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 22, 2015 through Dec 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jon L. Whiteley, DDS, PC

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1932520707
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1346258050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S POPLAR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306958",
            "telephone_number": "303-550-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POPLAR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306958",
            "telephone_number": "303-550-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELEY",
        "first_name": "JON",
        "middle_name": "LAWRENCE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattie Morgan Whitehead
• Amy Whitehorn, RDH
• Bethany Whitehorn, PA-C
• Megan Bendik Whitehouse, FNP-C
• Ann Whiteley, NP
• Piper M Whiteley, PA
• Morgan Lipke Whiteman, LCSW
• Madison Paige Whitesell, MS, LAT, ATC
• Gina Whiteside
• Lisa D Whitesides, MD

• General Practice Dentistry in Denver, CO
• Providers in Denver, 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 Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.