Organization Active NPI

West Arvada Family Dental PLLC

  • Dental Clinic/Center
  • Arvada, CO
National Provider Identifier
1750990032
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WEST ARVADA FAMILY DENTAL PLLC
Practice address
18068 W 92ND LN Unit 100
Arvada, CO 80007-8162
Phone
(720) 635-2684
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Dr. Jeramiah Paylor, DDSNPI 1629429444
Title
Owner
Phone
(720) 635-2684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

18068 W 92ND LN Unit 100
Arvada, CO 80007-8162

Mailing address

9415 Joyce Way
Arvada, CO 80007-7501
Phone (720) 635-2684

National Provider Directory

National Provider Directory

Locations

18068 W 92nd Ln
Unit 100
Arvada, CO 80007
Phone (720) 635-2684

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": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1750990032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 JOYCE WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077501",
            "telephone_number": "720-635-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18068 W 92ND LN UNIT 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078162",
            "telephone_number": "720-635-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ARVADA FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "PAYLOR",
        "authorized_official_first_name": "JERAMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-635-2684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.