Active NPI
Jonathan Anderson DDS PC
- Dentist
- Fort Collins, CO
National Provider Identifier
1366986598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- JONATHAN ANDERSON DDS PC
- Doing business as
- Paragon Dental by Jon Anderson DDS
- Practice address
- 4745 Boardwalk Dr Ste D102
Fort Collins, CO 80525-3773 - Phone
- (970) 552-7874
- NPI assigned
- Dec 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Anderson
- Title
- President
- Phone
- (970) 552-7874
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
4745 Boardwalk Dr Ste D102
Fort Collins, CO 80525-3773
Mailing address
4360 Boardwalk Dr
Ste 100
Fort Collins, CO 80525-5932
Phone (970) 226-2920
Other names 1
- Paragon Dental by Jon Anderson DDS
National Provider Directory
National Provider DirectoryLocations
4360 Boardwalk Dr
Ste 100
Fort Collins, CO 80525
Phone (970) 226-2920
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Fort Collins, CO
- NPI 1912084039
-
- General Practice Dentistry
- Fort Collins, CO
- NPI 1891839916
-
- General Practice Dentistry
- Fort Collins, CO
- NPI 1518965581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1366986598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 BOARDWALK DR",
"address_2": "STE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255932",
"telephone_number": "970-226-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 BOARDWALK DR STE D102",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253773",
"telephone_number": "970-552-7874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN ANDERSON DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-07",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "970-552-7874"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paragon Dental by Jon Anderson DDS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.