Active NPI
James Mark Preston, DDS
- General Practice Dentistry
- Littleton, CO
National Provider Identifier
1366518979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 100974
- Practice address
- 5950 So Platte Canyon Rd
Littleton, CO 80123 - Phone
- (303) 797-2286
- Fax
- (720) 922-1111
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 100974 | CO | Primary |
Addresses
Primary practice location
5950 So Platte Canyon Rd
Littleton, CO 80123
Mailing address
5950 So Platte Canyon Rd
Littleton, CO 80123
Phone (303) 797-2286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02009744 | 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 |
|---|---|---|---|
| 100974 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366518979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5950 SO PLATTE CANYON RD",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80123",
"telephone_number": "303-797-2286",
"fax_number": "720-922-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 SO PLATTE CANYON RD",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80123",
"telephone_number": "303-797-2286",
"fax_number": "720-922-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "JAMES",
"middle_name": "MARK",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "100974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02009744",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Littleton, 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.