Organization Active NPI

GJ West Dental Prof LLC

Doing business as Comfort Dental Grand Junction West

  • General Practice Dentistry
  • Grand Junction, CO
National Provider Identifier
1801132931
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GJ WEST DENTAL PROF LLC
Doing business as
Comfort Dental Grand Junction West
Practice address
2502 Highway 6 and 50
Suite 700
Grand Junction, CO 81505-4501
Phone
(970) 241-2080
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mr. Jeffery C Greene, DMD
Title
Owner
Phone
(970) 241-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2502 Highway 6 and 50
Suite 700
Grand Junction, CO 81505-4501

Mailing address

2502 Highway 6 and 50
Suite 700
Grand Junction, CO 81505-4501
Phone (970) 241-2080

Other names 1

  • Comfort Dental Grand Junction West Doing business as

National Provider Directory

National Provider Directory

Locations

2502 Highway 6 and 50
Ste 700
Grand Junction, CO 81505
Phone (970) 241-2080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1801132931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 HIGHWAY 6 AND 50",
            "address_2": "SUITE 700",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815054501",
            "telephone_number": "970-241-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 HIGHWAY 6 AND 50",
            "address_2": "SUITE 700",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815054501",
            "telephone_number": "970-241-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJ WEST DENTAL PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-241-2080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Grand Junction West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.