1164437927 NPI number — CHRISTOPHER MARC JONES DMD PC

Table of content: (NPI 1164437927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164437927 NPI number — CHRISTOPHER MARC JONES DMD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTOPHER MARC JONES DMD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COLORADO CHILDREN'S DENTAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164437927
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9256 S. JORDAN ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARKER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-627-8300
Provider Business Mailing Address Fax Number:
303-627-8333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9256 S. JORDAN ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARKER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-627-8300
Provider Business Practice Location Address Fax Number:
303-627-8333
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
MARC
Authorized Official Title or Position:
OWNER/DENTIST
Authorized Official Telephone Number:
828-421-7766

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  04815 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02048155 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0010014 . This is a "FORTIS" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 573669 . This is a "UNITED CONCORDIA" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 23627 . This is a "DHA" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 762-33341 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 141676 . This is a "CIGNA DH" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 1B0J7V . This is a "BCBS" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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