John Jared Waite, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

8854 Issued in CO

Legal business name

JOHN JARED WAITE, DDS, PC

Practice address

6260 Woodmen Park VW Ste 150
Colorado Springs, CO 80923-2621

Phone

(719) 282-3400

Fax

(719) 282-3401

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Jared Waite, DDS

Title

Dentist, Owner

Phone

(719) 282-3400

Specialties & licenses 2

Addresses

Other names 1

• Aspen Ridge Dental Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1447535554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 WOODMEN PARK VW STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232621",
            "telephone_number": "719-282-3400",
            "fax_number": "719-282-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 WOODMEN PARK VW STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232621",
            "telephone_number": "719-282-3400",
            "fax_number": "719-282-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN JARED WAITE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "719-282-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8854",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Ridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspen Ridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.