Individual provider Active NPI

John Pennington Poovey, D.M.D.

  • General Practice Dentistry
  • Grand Junction, CO
National Provider Identifier
1841384492
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8316 Issued in CO
Practice address
132 Walnut Ave Ste E
Grand Junction, CO 81501
Phone
(970) 243-2025
Fax
(970) 243-2027
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8316 CO Primary

Addresses

Primary practice location

132 Walnut Ave Ste E
Grand Junction, CO 81501

Mailing address

132 Walnut Ave Ste E
Grand Junction, CO 81501
Phone (970) 243-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618001043 CO Practitioner - Oral SurgeryPractitioner - Dentist 4587979042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Boston Univ Goldman School of Dental Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon R Wilcox DDS PLLCGroup PAC ID 5698178267, 2 clinicians

Practice addresses (Care Compare)

2412 Patterson Rd
Suite 7
Grand Junction, CO 81505-1259
Phone (970) 243-2025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8316COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John P Poovey DMD PC General Practice Current Accepting new patients
Brandon R Wilcox DDS PLLC General Practice CurrentSince Apr 30, 2021 Accepting new patients
Oral Med Solutions LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

132 Walnut Ave
Ste E
Grand Junction, CO 81501
Phone (970) 243-2025

2412 Patterson Rd
Ste 7
Grand Junction, CO 81505
Phone (970) 243-2025

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841384492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WALNUT AVE STE E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-243-2025",
            "fax_number": "970-243-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WALNUT AVE STE E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-243-2025",
            "fax_number": "970-243-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOVEY",
        "first_name": "JOHN",
        "middle_name": "PENNINGTON",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.