Individual provider Active NPI

Justin Rajan McPhee, DDS

  • General Practice Dentistry
  • Wellington, CO
National Provider Identifier
1629648654
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401417521 Issued in VA
Practice address
7859 6TH St Ste 150
Wellington, CO 80549-5045
Phone
(970) 568-4442
NPI assigned
Jun 30, 2021
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 0401417521 VA Primary

Addresses

Primary practice location

7859 6TH St Ste 150
Wellington, CO 80549-5045

Mailing address

3033 N James Dr
Suffolk, VA 23435-3352
Phone (757) 642-7537

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

LicenseStateTypeSpecialty
0401417521VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Open and Affordable Dental Wellington PLLC CurrentSince Mar 3, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1629648654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N JAMES DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353352",
            "telephone_number": "757-642-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 6TH ST STE 150",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805495045",
            "telephone_number": "970-568-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHEE",
        "first_name": "JUSTIN",
        "middle_name": "RAJAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.