Individual provider Active NPI

Jillian Horkan, D.D.S

  • General Practice Dentistry
  • Montrose, CO
National Provider Identifier
1609264779
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00202414 Issued in CO
Practice address
629 E Star CT
Montrose, CO 81401-6701
Phone
(970) 249-3330
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00202414 CO Primary

Addresses

Primary practice location

629 E Star CT
Montrose, CO 81401-6701

Mailing address

604 Glacier Dr
Unit a
Grand Junction, CO 81507-1074
Phone (308) 249-1233

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
I20160302001301 CO Order and Referring Only - DentistPractitioner - Dentist 0143526046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Dental Wellness PLLC General Practice Current Accepting new patients

Organizations & group practices 1

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": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1609264779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 GLACIER DR",
            "address_2": "UNIT A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071074",
            "telephone_number": "308-249-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016701",
            "telephone_number": "970-249-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORKAN",
        "first_name": "JILLIAN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.