Jennifer Unger Waters, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8005 Issued in CO

Practice address

1607 Washington Ave
Golden, CO 80401-1926

Phone

(303) 279-6621

Fax

(303) 216-0278

NPI assigned

Nov 28, 2005

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

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Jennifer L Unger Waters DDS PC

  • Dental Clinic/Center
  • Golden, CO
  • NPI 1952510679
  NPD (past) Authorized official

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1588647176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WASHINGTON AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011927",
            "telephone_number": "303-279-6621",
            "fax_number": "303-216-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 WASHINGTON AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011926",
            "telephone_number": "303-279-6621",
            "fax_number": "303-216-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JENNIFER",
        "middle_name": "UNGER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd David Ward, PT
• Heidi Lynn Warner, PA-C
• Lisa Menconi Warren, PA
• Olivia Waszczuk, OTR
• Ilsa Christine Waterman, AGPCNP
• Michael Patton Watkins, PHYSICIAN ASSISTANT
• Robert Watterson, MPH, MA, LPCC
• Kara Watts-Schroeder, LCSW
• Mary A Weaver
• Debbie Ann Webb

• General Practice Dentistry in Golden, CO
• Providers in Golden, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.