Active NPI
Jil Kristine Dery, D.D.S.
- Dentist
- Arvada, CO
National Provider Identifier
1699187641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021213
- Practice address
- 5656 Ward Way
Arvada, CO 80002-1345 - Phone
- (720) 316-4053
- NPI assigned
- May 27, 2014
- Sex
- Female
- 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 | 2901021213 | MI | Primary |
Addresses
Primary practice location
5656 Ward Way
Arvada, CO 80002-1345
Mailing address
2418 Newton St
Denver, CO 80211-4446
Phone (248) 514-8960
Other practice location 1
7500 N Telegraph Rd
Monroe, MI 48162-9367
Phone (734) 586-2400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021213 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1699187641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 NEWTON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802114446",
"telephone_number": "248-514-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5656 WARD WAY",
"city": "ARVADA",
"state": "CO",
"postal_code": "800021345",
"telephone_number": "720-316-4053"
}
],
"practiceLocations": [
{
"address_1": "7500 N Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "MI",
"postal_code": "481629367",
"country_code": "US",
"telephone_number": "734-586-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERY",
"first_name": "JIL",
"middle_name": "KRISTINE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
- Dentists of Arvada, LLP
- Pamela Depinto, LPN, RMA, CNA
- Tobias M. Derloshon, D.D.S.
- Kerry Anne Derrick, M.A. LMFT
- Lindsey Derus, LPC
- Deshano Care Centers LLC
- Annie Kim Detweiler, PT, DPT
- Developmental Disabilities Resource Center
- Developmental Disabilities Resource Center
- Developmental Disabilities Resource Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.