Active NPI
Julia Rose Plevnia, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Parker, CO
National Provider Identifier
1366544645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DEN-10560
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Michigan School of Dentistry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018217 | MI | MD | Dentist |
| DEN-10560 | CO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma and Emergency Subspecialty Surgeons PLLC | Oral and Maxillofacial Surgery | Current | 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.
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Highlands Ranch, CO
- NPI 1740543933
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery Clinic/Center
- Englewood, CO
- NPI 1619938636
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.