Jack T Emory, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00204600 Issued in CO

Practice address

66 Springer Dr Ste 204
Highlands Ranch, CO 80129-2307

Phone

(303) 791-0472

NPI assigned

Jul 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Colorado Dental Professionals, LLC

  • General Practice Dentistry
  • Castle Rock, CO
  • NPI 1891381513
  NPD (past)
• Alex Sharifian, D.D.S., Tiffany Springs Dental Group, P.C.

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1851642508
  NPD (past)

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1861001646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 OLD WINDMILL WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098656",
            "telephone_number": "314-603-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SPRINGER DR STE 204",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292307",
            "telephone_number": "303-791-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMORY",
        "first_name": "JACK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00204600",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61675",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020025847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence C. Elwell, D.C.
• Jody Ann Elzey, MT
• Embracekids IV, LLC
• Embracekids IV, LLC
• Donna Embree, HHP, BEP, TNP
• Empower Care Plus Solutions, LLC
• Encompass Telebehavioral Resources
• Eva Levy Englander, L.AC.
• Dequan Cyrell Enzor
• Epic Health & Rehab LLC

• General Practice Dentistry in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.