Organization Active NPI

Castle Valley Daental PC

  • Dentist
  • Castle Rock, CO
National Provider Identifier
1841419009
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8290 Issued in CO
Legal business name
CASTLE VALLEY DAENTAL PC
Practice address
610 East 5TH St.
Ste 300
Castle Rock, CO 80104
Phone
(303) 663-4366
Fax
(303) 663-9466
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. Jamin Daniel Houser, DDS
Title
Owner
Phone
(303) 663-4366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8290 CO Primary

Addresses

Primary practice location

610 East 5TH St.
Ste 300
Castle Rock, CO 80104

Mailing address

610 East 5TH St.
Ste 300
Castle Rock, CO 80104
Phone (303) 663-4366

National Provider Directory

National Provider Directory

Locations

610 5th St
Ste 300
Castle Rock, CO 80104
Phone (303) 663-4366

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1841419009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EAST 5TH ST.",
            "address_2": "STE 300",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "303-663-4366",
            "fax_number": "303-663-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EAST 5TH ST.",
            "address_2": "STE 300",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "303-663-4366",
            "fax_number": "303-663-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE VALLEY DAENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "JAMIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-663-4366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.