Individual provider Active NPI

Jamin Houser, DDS

  • General Practice Dentistry
  • Falcon, CO
National Provider Identifier
1912108655
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8290 Issued in CO
Practice address
8011 Meridian Park Dr
Falcon, CO 80831-8128
Phone
(719) 494-1100
Fax
(719) 494-1157
NPI assigned
May 30, 2007
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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 8290 CO Primary

Addresses

Primary practice location

8011 Meridian Park Dr
Falcon, CO 80831-8128

Mailing address

8011 Meridian Park Dr
Falcon, CO 80831-8128
Phone (719) 494-1100

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
I20160405001998 CO Order and Referring Only - DentistPractitioner - Dentist 7214235308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8290COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Falcon Dental Care PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1912108655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 MERIDIAN PARK DR",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318128",
            "telephone_number": "719-494-1100",
            "fax_number": "719-494-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 MERIDIAN PARK DR",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318128",
            "telephone_number": "719-494-1100",
            "fax_number": "719-494-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "JAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon, CO

Sources for this page

Verify at the official NPI Registry.