Active NPI
Joshua Machone, DDS
- Dentist
- Pueblo, CO
National Provider Identifier
1912446592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00203612
- Practice address
- 1700 N Salem Ave
Pueblo, CO 81001 - Phone
- (719) 582-4222
- NPI assigned
- Feb 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00203612 | CO | Primary |
Addresses
Primary practice location
1700 N Salem Ave
Pueblo, CO 81001
Mailing address
1700 N Salem Ave
Pueblo, CO 81001-2860
Phone (719) 582-4222
Other practice location 1
1959 NE Pacific St Box 357134
Seattle, WA 98195-0001
Phone (719) 688-4892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203612 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Smiles PLLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1912446592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N SALEM AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810012860",
"telephone_number": "719-582-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N SALEM AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81001",
"telephone_number": "719-582-4222"
}
],
"practiceLocations": [
{
"address_1": "1959 NE Pacific St Box 357134",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981950001",
"country_code": "US",
"telephone_number": "719-688-4892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACHONE",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-16",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00203612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.