Organization Active NPI

Daniel R. George

  • Specialist
  • Aspen, CO
National Provider Identifier
1407032519
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
198 Issued in CO
Legal business name
DANIEL R. GEORGE
Practice address
630 E Hyman Ave
Suite 22
Aspen, CO 81611-1995
Phone
(970) 925-8210
Fax
(970) 925-1793
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Daniel R. George, DMD
Title
Surgeon/Owner
Phone
(970) 925-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 198 CO Primary

Addresses

Primary practice location

630 E Hyman Ave
Suite 22
Aspen, CO 81611-1995

Mailing address

630 E Hyman Ave
Suite 22
Aspen, CO 81611-1995
Phone (970) 925-8210

Other identifiers 4

IdentifierTypeStateIssuer
C804828OtherCOMEDICARE GROUP
C804829OtherCOMEDICARE INDIVIDUAL
1174547517OtherCONPI INDIVIDUAL
U55283OtherCOUPIN

Other names 1

  • Aspen Oral & Maxillofacial Surgery Other name

National Provider Directory

National Provider Directory

Locations

630 E Hyman Ave
#22
Aspen, CO 81611
Phone (970) 925-8210

630 E Hyman Ave
Ste 22
Aspen, CO 81611
Phone (970) 925-8210

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1407032519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E HYMAN AVE",
            "address_2": "SUITE 22",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111995",
            "telephone_number": "970-925-8210",
            "fax_number": "970-925-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E HYMAN AVE",
            "address_2": "SUITE 22",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111995",
            "telephone_number": "970-925-8210",
            "fax_number": "970-925-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R. GEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "970-925-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C804828",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "C804829",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1174547517",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U55283",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Oral & Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.