Organization Active NPI

Jeremy G Cardon DMD

  • Customized Equipment (DME)
  • Castle Rock, CO
National Provider Identifier
1891182846
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
JEREMY G CARDON DMD
Practice address
718 Maleta LN
Ste 102
Castle Rock, CO 80108-7602
Phone
(303) 814-9899
Fax
(303) 814-3887
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Jeremy G Cardon, DMDNPI 1053577130
Title
Owner
Phone
(303) 814-9899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

718 Maleta LN
Ste 102
Castle Rock, CO 80108-7602

Mailing address

718 Maleta LN
Ste 102
Castle Rock, CO 80108-7602
Phone (303) 814-9899

National Provider Directory

National Provider Directory

Locations

718 Maleta Ln
Ste 102
Castle Rock, CO 80108
Phone (303) 814-9899

Practitioners & affiliated clinicians

Practitioners 1

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": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1891182846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 MALETA LN",
            "address_2": "STE 102",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087602",
            "telephone_number": "303-814-9899",
            "fax_number": "303-814-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 MALETA LN",
            "address_2": "STE 102",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087602",
            "telephone_number": "303-814-9899",
            "fax_number": "303-814-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY G CARDON DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-814-9899",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "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 Apr 16, 2015; 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.