Active NPI
Jessica L Banjany
- Dentist
- Montrose, CO
National Provider Identifier
1811787245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00206287
- Practice address
- 1544 Oxbow Dr Ste 230
Montrose, CO 81401-5189 - Phone
- (970) 240-8880
- NPI assigned
- May 8, 2025
- Last updated
- May 8, 2025
- Sex
- Unspecified or another gender identity
- 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 | 00206287 | CO | Primary |
Addresses
Primary practice location
1544 Oxbow Dr Ste 230
Montrose, CO 81401-5189
Mailing address
515 W 5TH Ave Apt 434
Columbus, OH 43201-0115
Phone (732) 343-0180
Other practice location 1
2773 B 1/2 Rd Ste A
Grand Junction, CO 81503-3036
Phone (257) 970-1103
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 |
|---|---|---|---|
| 00206287 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Canyon Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Montrose, CO
- NPI 1346776408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1811787245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W 5TH AVE APT 434",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432010115",
"telephone_number": "732-343-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 OXBOW DR STE 230",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015189",
"telephone_number": "970-240-8880"
}
],
"practiceLocations": [
{
"address_1": "2773 B 1/2 Rd Ste A",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815033036",
"country_code": "US",
"telephone_number": "257-970-1103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANJANY",
"first_name": "JESSICA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00206287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.