Individual provider Active NPI

Jason Alan Palmer, DMD

  • Dentist
  • Commerce City, CO
National Provider Identifier
1487220588
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00204727 Issued in CO
Practice address
6091 Dexter St
Commerce City, CO 80022-3125
Phone
(303) 325-3209
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00204727 CO Primary

Addresses

Primary practice location

6091 Dexter St
Commerce City, CO 80022-3125

Mailing address

6091 Dexter St
Commerce City, CO 80022-3125
Phone (303) 325-3209

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jason.Palmer@risas.com Direct

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
DEN.00204727COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce City Dental Partners PLLC PastSince Jun 22, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jason.palmer@risas.com

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1487220588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 DEXTER ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223125",
            "telephone_number": "303-325-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 DEXTER ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223125",
            "telephone_number": "303-325-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Palmer@risas.com",
            "affiliation": "N",
            "endpointDescription": "company encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6091 Dexter St",
            "city": "Commerce City",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800223125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.