Jamie Deforge

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

000904036 Issued in CO

Practice address

1927 Wilmington Dr Unit 202
Fort Collins, CO 80528-6102

Phone

(970) 484-4850

Fax

(970) 484-4852

NPI assigned

Jan 24, 2018

Last updated

Jan 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allison Jung Family Dentistry, PLLC

  • Dental Clinic/Center
  • Fort Collins, CO
  • NPI 1164935938
  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1497253413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 MOONLIGHT BAY DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805288975",
            "telephone_number": "970-229-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 WILMINGTON DR UNIT 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286102",
            "telephone_number": "970-484-4850",
            "fax_number": "970-484-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORGE",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "000904036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Miranda Dechant, BSW
• Brian Joseph Decker, FNP-C
• Jenny Decker, LICSW
• Chad A Decklever, D.C.
• Jesselyn Defilippo, LPCC
• Allison Elizabeth Dehart, CNM, APRN
• Jaclyn Dehayes-Rice, O.D.
• Madysen Deherrera
• Hilda Deines, CMT
• Micheal Deitz, PA-C

• Dental Hygienist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.