Active NPI
Nelson S. Joo, D.M.D.
- Dentist
- Aurora, CO
National Provider Identifier
1952310518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22023224 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Aurora, CO
- NPI 1386601805
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.