Active NPI
Jina K Rasouli, DDS
- Dentist
- Denver, CO
National Provider Identifier
1992997209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9508
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9508 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Denver, CO
- NPI 1528770898
-
- General Practice Dentistry
- Denver, CO
- NPI 1215937768
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.