Individual provider Active NPI

Jessica L Banjany

  • Dentist
  • Montrose, CO
National Provider Identifier
1811787245
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00206287 Issued in CO
Practice address
1544 Oxbow Dr Ste 230
Montrose, CO 81401-5189
Phone
(970) 240-8880
NPI assigned
May 8, 2025
Last updated
May 8, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
00206287COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Canyon Dental Dentist PastSince May 11, 2025 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.

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.

Verify at the official NPI Registry.