Jade Dental Professionals

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7157 Issued in CO

Legal business name

JADE DENTAL PROFESSIONALS

Practice address

6020 Erin Park Dr Ste B
Colorado Springs, CO 80918-3429

Phone

(719) 266-9393

Fax

(719) 266-9494

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Greg L Rodriguez

Title

Administrator

Phone

(719) 266-9393

Specialties & licenses 1

Addresses

Tax ID family

Jade Dental Professionals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jade Dental Professionals

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1902213135
  NPD tax ID

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1811298664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 ERIN PARK DR STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183429",
            "telephone_number": "719-266-9393",
            "fax_number": "719-266-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 ERIN PARK DR STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183429",
            "telephone_number": "719-266-9393",
            "fax_number": "719-266-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-266-9393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammon Jacobson, D.C.
• Garrett Jacobson
• Lynn Marie Jacoby, MD
• Teresa Jacoby
• Laura Jacumski, PTA
• Jade Dental Professionals
• Jagger F Lawrence DDS PC
• Hannah Elizabeth Jaggli
• Isabella Jahn
• Rupesh Jain, MD

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.