Active NPI
Patrick Shannon Jones, DDS
- Dentist
- Highlands Ranch, CO
National Provider Identifier
1467234922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00205790
- Practice address
- 9579 S University Blvd Unit 400a
Highlands Ranch, CO 80126-8122 - Phone
- (303) 683-5091
- NPI assigned
- Oct 19, 2023
- Last updated
- Nov 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00205790 | CO | Primary |
Addresses
Primary practice location
9579 S University Blvd Unit 400a
Highlands Ranch, CO 80126-8122
Mailing address
2556 Newark CT Unit 4213
Aurora, CO 80010-1488
Phone (719) 641-1356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108000022 | CO | Order and Referring Only - Dentist | 5991156697 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falcon Park Dental Group, LLP | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Falcon Park Dental Group
- General Practice Dentistry
- Highlands Ranch, CO
- NPI 1457581753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1467234922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2556 NEWARK CT UNIT 4213",
"city": "AURORA",
"state": "CO",
"postal_code": "800101488",
"telephone_number": "719-641-1356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9579 S UNIVERSITY BLVD UNIT 400A",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801268122",
"telephone_number": "303-683-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PATRICK",
"middle_name": "SHANNON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-19",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00205790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.