Blue Mesa Dentistry at the Crest

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8696 Issued in CO

Legal business name

BLUE MESA DENTISTRY AT THE CREST

Practice address

10047 Park Meadows Dr
#B
Lone Tree, CO 80124

Phone

(303) 768-8848

Fax

(303) 768-8858

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason M Ray, DDS

Title

Associate Dentist

Phone

(303) 768-8848

Specialties & licenses 1

Addresses

Other names 1

• Dentistry at the Crest Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Lee Walker, DMD

  • General Practice Dentistry
  • Lonetree, CO
  • NPI 1295959765

  General Practice

  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356496558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10047 PARK MEADOWS DR",
            "address_2": "#B",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-768-8848",
            "fax_number": "303-768-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10047 PARK MEADOWS DR",
            "address_2": "#B",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-768-8848",
            "fax_number": "303-768-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MESA DENTISTRY AT THE CREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "303-768-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry at the Crest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ellen R Blatt, M.D.
• Christopher K. Blicharski, M.D.
• Geoffrey Allan Block, MD
• Rebecca Jean Blomquist
• Blossom Psychiatric Services
• Bluffs Medical Wellness Prof LLC
• Laura Marie Bohlander, LAURA BOHLANDER
• Ashley Lynn Bohn, PHARM.D.,BCPS
• Brittany Claire Boles, RN
• Erik Glenn Bomsta, CNIM

• All providers in Lone Tree, CO
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.