Individual provider Active NPI

Janelle Lynn Tonn, DDS

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1982922894
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10761 Issued in CO
Practice address
7505 Mulberry Wood Dr., Ste 150
Colorado Springs, CO 80908
Phone
(719) 638-7673
Fax
(719) 424-4928
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10761 CO Primary

Addresses

Primary practice location

7505 Mulberry Wood Dr., Ste 150
Colorado Springs, CO 80908

Mailing address

7505 Mulberry Wood Dr., Ste 150
Colorado Springs, CO 80908
Phone (719) 638-7673

Other names 1

  • Janelle Lynn Peterson Former name

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

LicenseStateTypeSpecialty
10761COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Pediatric Dentistry, PLLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

7505 Mulberry Wood Dr
Ste 150
Colorado Springs, CO 80908
Phone (719) 638-7673

6071 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 212-2108

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1982922894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 MULBERRY WOOD DR., STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80908",
            "telephone_number": "719-638-7673",
            "fax_number": "719-424-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 MULBERRY WOOD DR., STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80908",
            "telephone_number": "719-638-7673",
            "fax_number": "719-424-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONN",
        "first_name": "JANELLE",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "PETERSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.