Jade Dental Professionals

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7157 Issued in CO

Legal business name

JADE DENTAL PROFESSIONALS

Practice address

703 N Tejon St Ste a
Colorado Springs, CO 80903-1050

Phone

(719) 313-8666

NPI assigned

Jul 21, 2014

Last updated

Jul 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg L Rodriguez

Title

Adminstrator

Phone

(719) 633-0770

Specialties & licenses 1

Addresses

Tax ID family

Jade Dental Professionals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jade Dental Professionals

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1811298664
  NPD tax ID

Locations

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1902213135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N TEJON ST STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031050",
            "telephone_number": "719-313-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N TEJON ST STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031050",
            "telephone_number": "719-313-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "719-633-0770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Jacobson
• Lynn Marie Jacoby, MD
• Teresa Jacoby
• Laura Jacumski, PTA
• Jade Dental Professionals
• Nolan James Jaeger, MD
• Jagger F Lawrence DDS PC
• Hannah Elizabeth Jaggli
• Isabella Jahn
• Maria Isabel Jaime, COUNSELOR

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, 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 Jul 21, 2014; 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.