Individual provider Active NPI

Jeff Harold Revoir, DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1548202039
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN-105666 Issued in CO
Practice address
3490 S Poplar St
Denver, CO 80224-2908
Phone
(303) 758-2980
Fax
(303) 756-8551
NPI assigned
Jun 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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-105666 CO Primary

Addresses

Primary practice location

3490 S Poplar St
Denver, CO 80224-2908

Mailing address

3490 S Poplar St
Denver, CO 80224-2908
Phone (303) 758-2980

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-105666COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548202039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 S POPLAR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242908",
            "telephone_number": "303-758-2980",
            "fax_number": "303-756-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 S POPLAR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242908",
            "telephone_number": "303-758-2980",
            "fax_number": "303-756-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOIR",
        "first_name": "JEFF",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN-105666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.