NPIMap

Organization Active NPI

Just Wisdom Teeth Westminster

  • Dentist
  • Westminster, CO
National Provider Identifier
1649515453
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8941 Issued in CO
Legal business name
JUST WISDOM TEETH WESTMINSTER
Practice address
2761 W 120TH Ave #110
Westminster, CO 80234
Phone
(303) 410-1741
Fax
(303) 429-9584
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
April Olney
Title
Relations Manager
Phone
(303) 410-1741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8941 CO Primary

Addresses

Primary practice location

2761 W 120TH Ave #110
Westminster, CO 80234

Mailing address

2761 W 120TH Ave #110
Westminster, CO 80234
Phone (303) 410-1741

National Provider Directory

National Provider Directory

Locations

2761 W 120th Ave
Ste 110
Westminster, CO 80234
Phone (303) 410-1741

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1649515453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 W 120TH AVE #110",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80234",
            "telephone_number": "303-410-1741",
            "fax_number": "303-429-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 W 120TH AVE #110",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80234",
            "telephone_number": "303-410-1741",
            "fax_number": "303-429-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST WISDOM TEETH WESTMINSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "OLNEY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "RELATIONS MANAGER",
        "authorized_official_telephone_number": "303-410-1741"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8941",
            "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 Dec 5, 2012; 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.