Active NPI
Jay D Tippets, D.D.S.
- Dentist
- Denver, CO
National Provider Identifier
1649432063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9925
- Practice address
- 9020 E Lehigh Ave
Denver, CO 80237-1902 - Phone
- (720) 301-5365
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- 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 | 9925 | CO | Primary |
Addresses
Primary practice location
9020 E Lehigh Ave
Denver, CO 80237-1902
Mailing address
9020 E Lehigh Ave
Denver, CO 80237
Phone (720) 301-5365
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9925 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1649432063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9020 E LEHIGH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "80237",
"telephone_number": "720-301-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 E LEHIGH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802371902",
"telephone_number": "720-301-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPPETS",
"first_name": "JAY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.