Active NPI
Jonathan Jimmy Cano, DDS
- Dentist
- Denver, CO
National Provider Identifier
1790279750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00203631
- Practice address
- 2130 Stout St
Denver, CO 80205-2827 - Phone
- (303) 293-2220
- NPI assigned
- Jun 21, 2018
- Last updated
- Feb 16, 2022
- Sex
- Male
- 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 | 00203631 | CO | Primary |
Addresses
Primary practice location
2130 Stout St
Denver, CO 80205-2827
Mailing address
2111 Champa St
Denver, CO 80205-2529
Phone (303) 293-2220
Other practice location 1
7456 S Simms St Ste A-1
Littleton, CO 80127-3286
Phone (720) 838-8708
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 |
|---|---|---|---|
| 00203631 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica Tepeyac, Inc | Past | Accepting new patients | |
| Littleton Modern Dentistry and Orthodontics, LLP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tepeyac Community Health Center - East 48th
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1659080620
-
dba Littleton Modern Dentistry and Orthodontics
- General Practice Dentistry
- Littleton, CO
- NPI 1861778110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1790279750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 CHAMPA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802052529",
"telephone_number": "303-293-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 STOUT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802052827",
"telephone_number": "303-293-2220"
}
],
"practiceLocations": [
{
"address_1": "7456 S Simms St Ste A-1",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801273286",
"country_code": "US",
"telephone_number": "720-838-8708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANO",
"first_name": "JONATHAN",
"middle_name": "JIMMY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-21",
"last_updated": "2022-02-16",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00203631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.