Individual provider Active NPI

Jason Thomas Difani, D.D.S.

  • Dentist
  • Denver, CO
National Provider Identifier
1992934574
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202082 Issued in CO
Practice address
5021 Happy Canyon Rd
Denver, CO 80237-1036
Phone
(303) 757-1525
Fax
(303) 800-9751
NPI assigned
Jul 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00202082 CO Primary

Addresses

Primary practice location

5021 Happy Canyon Rd
Denver, CO 80237-1036

Mailing address

5021 Happy Canyon Rd
Denver, CO 80237-1036
Phone (309) 824-8835

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731015328 CO Order and Referring Only - DentistPractitioner - Dentist 1850605015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00202082COMDDentist
202082COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1992934574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 HAPPY CANYON RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371036",
            "telephone_number": "309-824-8835",
            "fax_number": "303-800-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 HAPPY CANYON RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371036",
            "telephone_number": "303-757-1525",
            "fax_number": "303-800-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFANI",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-05",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.