Individual provider Active NPI

John Paul Lupori, M.D, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Steamboat Springs, CO
National Provider Identifier
1821172214
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
37601 Issued in CO
Practice address
940 Central Park Dr
Suite 106
Steamboat Springs, CO 80487-8816
Phone
(970) 871-0900
Fax
(970) 871-0662
NPI assigned
Oct 24, 2006
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 37601 CO Primary

Addresses

Primary practice location

940 Central Park Dr
Suite 106
Steamboat Springs, CO 80487-8816

Mailing address

940 Central Park Dr
Suite 106
Steamboat Springs, CO 80487-8816
Phone (970) 871-0900

Other identifiers 1

IdentifierTypeStateIssuer
17521840MedicaidCO

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Facial Surgery Past Accepting new patients

Organizations & group practices 3

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1821172214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 106",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-871-0900",
            "fax_number": "970-871-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 106",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-871-0900",
            "fax_number": "970-871-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPORI",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D, D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "37601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17521840",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.