Active NPI
Jessica Joleen Merritt, D.D.S.
- Dentist
- Westminster, CO
National Provider Identifier
1619499480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00203274
- Practice address
- 10350 Federal Blvd Unit 300
Westminster, CO 80260-8616 - Phone
- (303) 427-2722
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00203274 | CO | Primary |
Addresses
Primary practice location
10350 Federal Blvd Unit 300
Westminster, CO 80260-8616
Mailing address
2262 Harvest St
Fort Collins, CO 80528-7114
Phone (661) 549-3075
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203274 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Dental Westminster | Dentist | Past | 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.
-
- Dentist
- Federal Heights, CO
- NPI 1306062112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1619499480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2262 HARVEST ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805287114",
"telephone_number": "661-549-3075",
"fax_number": "661-549-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10350 FEDERAL BLVD UNIT 300",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802608616",
"telephone_number": "303-427-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "JESSICA",
"middle_name": "JOLEEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00203274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.