Jacob Gerhard Zitterkopf, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN.00203288 Issued in CO

Practice address

1407 W 84TH Ave Unit B8
Denver, CO 80260-4753

Phone

(720) 214-4746

Fax

(720) 214-4745

NPI assigned

Oct 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Zitterkopf Smiles, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
  • NPI 1659130458
  NPD Authorized official

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1972013639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W 84TH AVE UNIT B8",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802604753",
            "telephone_number": "720-214-4746",
            "fax_number": "720-214-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTERKOPF",
        "first_name": "JACOB",
        "middle_name": "GERHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-09",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00203288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972013639",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Ziporin, MD
• Cynthia Zipp
• Katlyn Zirkelbach, RDN
• Aimee Zisner, PHD
• Kayln Zita, LCSW
• Mary Kay Zius, RPH
• Nadiyah Fajri Ziyad, LMT
• Tamara Zlatkina, DENTAL HYGIENIST
• Zmily Health Group Inc.
• Chadley Zobolas, MSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.