Individual provider Active NPI

Jayme Jean Michalson, DDS

  • Pediatric Dentistry
  • Littleton, CO
National Provider Identifier
1659584894
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9361 Issued in CO
Practice address
721 Southpark Dr
Suite a
Littleton, CO 80120-5728
Phone
(303) 347-1000
Fax
(720) 726-2950
NPI assigned
May 7, 2007
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 9361 CO Primary

Addresses

Primary practice location

721 Southpark Dr
Suite a
Littleton, CO 80120-5728

Mailing address

721 Southpark Dr
Suite a
Littleton, CO 80120-5728
Phone (303) 347-1000

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
9361COMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1659584894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SOUTHPARK DR",
            "address_2": "SUITE A",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205728",
            "telephone_number": "303-347-1000",
            "fax_number": "720-726-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SOUTHPARK DR",
            "address_2": "SUITE A",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205728",
            "telephone_number": "303-347-1000",
            "fax_number": "720-726-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSON",
        "first_name": "JAYME",
        "middle_name": "JEAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.