Organization Active NPI

Jenny D Filter DDS PC

  • Dentist
  • Salida, CO
National Provider Identifier
1487066536
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7143 Issued in CO
Legal business name
JENNY D FILTER DDS PC
Practice address
427 E 1St St
Salida, CO 81201-2803
Phone
(719) 539-6142
Fax
(719) 539-6186
NPI assigned
May 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Dr. Jenny D Filter, DDSNPI 1942412879
Title
Owner PC
Phone
(719) 539-6142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7143 CO Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X 0000200079 CO

Addresses

Primary practice location

427 E 1St St
Salida, CO 81201-2803

Mailing address

427 E 1St St
Salida, CO 81201-2803
Phone (719) 539-6142

Other identifiers 1

IdentifierTypeStateIssuer
16858247MedicaidCO

National Provider Directory

National Provider Directory

Locations

427 E 1st St
Salida, CO 81201
Phone (719) 539-6142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1487066536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E 1ST ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012803",
            "telephone_number": "719-539-6142",
            "fax_number": "719-539-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E 1ST ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012803",
            "telephone_number": "719-539-6142",
            "fax_number": "719-539-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY D FILTER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "FILTER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER  PC",
        "authorized_official_telephone_number": "719-539-6142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "7143",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "0000200079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16858247",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.