Organization Active NPI

Nelson S. Joo, D.M.D.

  • Dentist
  • Aurora, CO
National Provider Identifier
1952310518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NELSON S. JOO, D.M.D.
Practice address
2222 S Fraser St Unit 3
Aurora, CO 80014-4515
Phone
(303) 671-0305
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vonda Elkins
Title
Office Manager
Phone
(303) 671-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2222 S Fraser St Unit 3
Aurora, CO 80014-4515

Mailing address

2222 S Fraser St Unit 3
Aurora, CO 80014-4515
Phone (303) 671-0305

Other identifiers 1

IdentifierTypeStateIssuer
22023224MedicaidCO

National Provider Directory

National Provider Directory

Locations

2222 S Fraser St
Unit 3
Aurora, CO 80014
Phone (303) 671-0305

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952310518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S FRASER ST UNIT 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144515",
            "telephone_number": "303-671-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S FRASER ST UNIT 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144515",
            "telephone_number": "303-671-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON S. JOO, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "VONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-671-0305"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22023224",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.