Jeramiah Paylor, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202876 Issued in CO

Practice address

18068 W 92ND LN Unit 100
Arvada, CO 80007-8162

Phone

(720) 635-2684

NPI assigned

Jun 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• West Arvada Family Dental PLLC

  • Dental Clinic/Center
  • Arvada, CO
  • NPI 1750990032
  NPD Authorized official

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1629429444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 JOYCE WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077501",
            "telephone_number": "720-635-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18068 W 92ND LN UNIT 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078162",
            "telephone_number": "720-635-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYLOR",
        "first_name": "JERAMIAH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "202876",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202876",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Lynn-Jocque Patten, R.M.T
• Chase Austin Patterson
• Frederick Joseph Paull, CSFA
• Mitchel Paulson
• Megan Pavez
• Rebecca Jo Payne
• Wendy Payne
• Peaceful Rivers Counseling PLLC
• Peak Family Eye Care
• Peak Gardens Assisted Living, Inc.

• Dentist in Arvada, CO
• Providers in Arvada, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.