Individual provider Active NPI

Julia Rose Plevnia, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Parker, CO
National Provider Identifier
1366544645
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN-10560 Issued in CO
Practice address
19700 E Parker Square Dr
Parker, CO 80134-7301
Phone
(303) 840-2300
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018217 MI
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901018217 MI
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN-10560 CO Primary

Addresses

Primary practice location

19700 E Parker Square Dr
Parker, CO 80134-7301

Mailing address

8209 S Country Club Pkwy
Aurora, CO 80016-1240
Phone (410) 271-4819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121102000116 CO Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 6406006295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
University of Michigan School of Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma and Emergency Subspecialty Surgeons PLLCGroup PAC ID 1951559293, 27 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018217MIMDDentist
DEN-10560COMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma and Emergency Subspecialty Surgeons PLLC Oral and Maxillofacial Surgery CurrentSince Jan 1, 2016 Accepting new patients

Locations

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1366544645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 S COUNTRY CLUB PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161240",
            "telephone_number": "410-271-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19700 E PARKER SQUARE DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347301",
            "telephone_number": "303-840-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEVNIA",
        "first_name": "JULIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018217",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901018217",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN-10560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.