Active NPI
Daniel R. George
- Specialist
- Aspen, CO
National Provider Identifier
1407032519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 198
- 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, 2008
- 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
- Dr. Daniel R. George, DMD
- Title
- Surgeon/Owner
- Phone
- (970) 925-8210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C804828 | Other | CO | MEDICARE GROUP |
| C804829 | Other | CO | MEDICARE INDIVIDUAL |
| 1174547517 | Other | CO | NPI INDIVIDUAL |
| U55283 | Other | CO | UPIN |
Other names 1
- Aspen Oral & Maxillofacial Surgery
National Provider Directory
National Provider DirectoryLocations
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.