Individual provider Active NPI

Jina K Rasouli, DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1992997209
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9508 Issued in CO
Practice address
7901 E Colfax Ave
Denver, CO 80220-2032
Phone
(303) 331-6511
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9508 CO Primary

Addresses

Primary practice location

7901 E Colfax Ave
Denver, CO 80220-2032

Mailing address

38 Blue Heron Dr
Thornton, CO 80241-4101
Phone (720) 232-3095

Other practice location 1

2295 S Chambers Rd Ste E
Aurora, CO 80014-4547
Phone (303) 751-6511

Other practice location 2

2400 W 16th St
Greeley, CO 80634-6067
Phone (970) 335-1000

Other names 1

  • Jina Dowlati 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
9508COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Smiles Dentistry LLC Current Accepting new patients
Kid'S Dental, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992997209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BLUE HERON DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802414101",
            "telephone_number": "720-232-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202032",
            "telephone_number": "303-331-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 S Chambers Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800144547",
            "country_code": "US",
            "telephone_number": "303-751-6511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806346067",
            "country_code": "US",
            "telephone_number": "970-335-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASOULI",
        "first_name": "JINA",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINA",
            "last_name": "DOWLATI",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.