NPIMap

Organization Active NPI

Jeffrey H. Wursten D.M.D. P.C.

Doing business as Arvada Smiles

  • General Practice Dentistry
  • Arvada, CO
National Provider Identifier
1568629996
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9006 Issued in CO
Legal business name
JEFFREY H. WURSTEN D.M.D. P.C.
Doing business as
Arvada Smiles
Practice address
6010 Kipling St
Arvada, CO 80004-4969
Phone
(303) 420-1199
Fax
(720) 377-0483
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Jeffrey Hardison Wursten, D.M.D.NPI 1306909346
Title
Owner
Phone
(303) 420-1199

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9006 CO Primary

Addresses

Primary practice location

6010 Kipling St
Arvada, CO 80004-4969

Mailing address

6010 Kipling St
Arvada, CO 80004-4969
Phone (303) 420-1199

Other identifiers 1

IdentifierTypeStateIssuer
04957229MedicaidCO

Other names 1

  • Arvada Smiles Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1568629996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 KIPLING ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044969",
            "telephone_number": "303-420-1199",
            "fax_number": "720-377-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 KIPLING ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044969",
            "telephone_number": "303-420-1199",
            "fax_number": "720-377-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H. WURSTEN D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "WURSTEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HARDISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-420-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04957229",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arvada Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.