Julie G Kavanaugh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8674 Issued in CO

Practice address

1829 56TH Ave
Suite B
Greeley, CO 80634-3024

Phone

(970) 351-0400

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• David Luker DDS, LLC

  • Dental Clinic/Center
  • Greeley, CO
  • NPI 1639751605
  NPD (past)
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Troy, PA
  • NPI 1376592493
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1447397633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 56TH AVE",
            "address_2": "SUITE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343024",
            "telephone_number": "970-351-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 56TH AVE",
            "address_2": "SUITE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343024",
            "telephone_number": "970-351-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "JULIE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Boone Karr, DDS
• Michelle Lynn Kary, PA
• Susan M Kasza, D.O.
• Immaculee Katumbi
• Joseph Kaufman
• Kayla Edson, PLLC
• Tara M Kaysen, M.ED., LPC
• Ashton Kazmierski, RBT
• Skye Keanaaina
• Amanda Kearney, MA

• General Practice Dentistry in Greeley, CO
• Providers in Greeley, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.