NPIMap

Organization Active NPI

Dr. Tyler H. Jolley, DMD PC Doing Business As Jolley Smiles

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Delta, CO
National Provider Identifier
1669069142
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES
Practice address
740 Main St
Delta, CO 81416-1828
Phone
(970) 874-0456
Fax
(970) 399-3217
NPI assigned
Dec 30, 2020
Last updated
Dec 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Tonja Cronkhite
Title
Insurance Coordinator
Phone
(970) 523-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

740 Main St
Delta, CO 81416-1828

Mailing address

740 Main St
Delta, CO 81416-1828
Phone (970) 874-0456

National Provider Directory

National Provider Directory
Tax ID family
Dr Tyler H Jolley DMD PC Doing Business As Jolley Smiles5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

740 Main St
Delta, CO 81416
Phone (970) 874-0456

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1669069142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161828",
            "telephone_number": "970-874-0456",
            "fax_number": "970-399-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161828",
            "telephone_number": "970-874-0456",
            "fax_number": "970-399-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "CRONKHITE",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "970-523-6333"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.