Individual provider Active NPI

Janie Lee Boyesen, D.D.S., D.M.SC.

  • Periodontics
  • Littleton, CO
National Provider Identifier
1457549222
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
9434 Issued in CO
Practice address
7761 Shaffer Pkwy
Ste 240
Littleton, CO 80127-3728
Phone
(303) 979-1705
Fax
(303) 979-2038
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 9434 CO Primary

Addresses

Primary practice location

7761 Shaffer Pkwy
Ste 240
Littleton, CO 80127-3728

Mailing address

3288 S Newcombe St
Apt 20205
Lakewood, CO 80227-6735
Phone (617) 833-3028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9434COMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanbrick Dental, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1457549222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 S NEWCOMBE ST",
            "address_2": "APT 20205",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802276735",
            "telephone_number": "617-833-3028",
            "fax_number": "303-979-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 SHAFFER PKWY",
            "address_2": "STE 240",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273728",
            "telephone_number": "303-979-1705",
            "fax_number": "303-979-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYESEN",
        "first_name": "JANIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., D.M.SC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.