Just Wisdom Teeth Wheat Ridge

Primary specialty

DentistTaxonomy code 122300000X

License

8941 Issued in CO

Legal business name

JUST WISDOM TEETH WHEAT RIDGE

Practice address

10160 W 50TH Ave Unit 1
Wheat Ridge, CO 80033

Phone

(720) 583-0523

Fax

(720) 583-0526

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. April Olney

Title

Practice Relations

Phone

(720) 583-0523

Specialties & licenses 2

Addresses

Other names 1

• Just Wisdom Teeth Wheat Ridge Doing business as

Locations

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1588909394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 W 50TH AVE UNIT 1",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "720-583-0523",
            "fax_number": "720-583-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 W 50TH AVE UNIT 1",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "720-583-0523",
            "fax_number": "720-583-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST WISDOM TEETH WHEAT RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "OLNEY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PRACTICE RELATIONS",
        "authorized_official_telephone_number": "720-583-0523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10676",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just Wisdom Teeth Wheat Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angelica Jordan-Hernandez, QBHP, LCSW
• Jennifer Jordan
• Joseph K Will DDS Ms PLLC
• Joseph Stoll, DDS, PC
• Cole R. Joyce, D.C.
• Jessica Kahanaoi, MA
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Michael David Kaiser, PHARM.D.

• Dentist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.