Active NPI
Jennina Townsend, D.D.S.
- Dentist
- Thornton, CO
National Provider Identifier
1942539713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00010060
- Practice address
- 4243 E 136TH Ave Unit 324
Thornton, CO 80602-6918 - Phone
- (720) 274-1380
- Fax
- (720) 274-1381
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
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.00010060 | CO | Primary |
Addresses
Primary practice location
4243 E 136TH Ave Unit 324
Thornton, CO 80602-6918
Mailing address
1735 S Public Rd Ste 203
Lafayette, CO 80026-7093
Phone (303) 665-3036
Other practice location 1
1701 W 72nd Ave
Denver, CO 80221-2721
Phone (303) 650-4460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10060 | Other | CO | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennina.townsend.p4@direct.clinicafamilyhealth.nextgenshare.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150619000379 | CO | Order and Referring Only - Oral Surgery | 7618288457 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00010060 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1942539713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 S PUBLIC RD STE 203",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800267093",
"telephone_number": "303-665-3036",
"fax_number": "303-665-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4243 E 136TH AVE UNIT 324",
"city": "THORNTON",
"state": "CO",
"postal_code": "806026918",
"telephone_number": "720-274-1380",
"fax_number": "720-274-1381"
}
],
"practiceLocations": [
{
"address_1": "1701 W 72nd Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802212721",
"country_code": "US",
"telephone_number": "303-650-4460",
"fax_number": "750-565-4128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOWNSEND",
"first_name": "JENNINA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00010060",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "10060",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennina.townsend.p4@direct.clinicafamilyhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGen EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "1701 W 72nd Ave",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802212721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.