Individual provider Active NPI

Jennifer Friedman, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Collins, CO
National Provider Identifier
1497927545
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
202346 Issued in CO
Practice address
4144 S Timberline Rd
Fort Collins, CO 80525-6029
Phone
(970) 226-6443
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 202346 CO Primary

Addresses

Primary practice location

4144 S Timberline Rd
Fort Collins, CO 80525-6029

Mailing address

2415 Douglas Mountain Dr
Golden, CO 80403-7705
Phone (720) 569-5989

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525001387 CO Order and Referring Only - DentistPractitioner - Dentist 3678862034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
202346COMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Co Specialty Dental Services, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Jul 9, 2025 Accepting new patients
Crane & Seager Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Jul 9, 2025 Accepting new patients
Reunion Dental Care, LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

4144 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 226-6443

Organizations & group practices 3

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": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1497927545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 DOUGLAS MOUNTAIN DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037705",
            "telephone_number": "720-569-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 S TIMBERLINE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256029",
            "telephone_number": "970-226-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "202346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.