DR. JONATHON SEDRICK JUNDT MD, DDS
NPI 1063640316
Dentist - Oral and Maxillofacial Surgery in Evergreen, CO

Q: What is Jonathon Jundt's NPI number?

The NPI number for Jonathon Jundt is 1063640316. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Q: What is Jonathon Jundt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Jonathon Jundt enrolled in Medicare?

No. Jonathon Jundt has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jonathon Jundt was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2009Opted out of Medicare · through Jul 1, 2027

28000 MEADOW DR UNIT 110, EVERGREEN, CO 80439(720) 990-5500(720) 990-5501 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jonathon Sedrick Jundt Md, Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHON SEDRICK JUNDT MD, DDS (NPI 1063640316) is an individual oral and maxillofacial surgery provider in Evergreen, Colorado, licensed in Colorado (DR.0058466) and active in the NPI registry since June 2009. He has opted out of Medicare through July 1, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063640316

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JONATHON SEDRICK JUNDTCredential: MD, DDS

Location Address28000 MEADOW DR UNIT 110Evergreen, CO 80439-8467

Mailing Address28000 Meadow Dr Unit 110Evergreen, CO 80439-8467 · (720) 990-5500 · Fax (720) 990-5501

Phone(720) 990-5500

Fax(720) 990-5501

Sole ProprietorNo

Enumeration DateJune 25, 2009

Last NPPES UpdateOctober 26, 2022

NPPES CertifiedOctober 26, 2022

✔ NPI 1063640316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in CO · DR.0058466✔ Licensed in TX · 0024657

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 0024657 (TX), DEN.00202720 (CO)

28000 MEADOW DR UNIT 110, Evergreen, CO 80439

Open in Google Maps ↗

Secondary Practice Locations 2

Location 16516 M D Anderson Blvd, Suite 2.059Houston, TX 77030-3402 · Phone (713) 500-4200

Location 211700 W 2nd Pl Ste 210Lakewood, CO 80228-1716 · Phone (720) 321-8080 · Fax (720) 321-8081

Other Identifiers 1

Medicaid9000162920CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jonathon Sedrick Jundt Md, Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVERGREEN ORAL AND MAXILLOFACIAL SURGERY

Dentist (Oral and Maxillofacial Surgery)

28000 MEADOW DR UNIT 110
EVERGREEN, CO 80439

Jefferson County (720) 990-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathon Jundt's NPI number?

The NPI number for Jonathon Jundt is 1063640316. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Jonathon Jundt located?

Jonathon Jundt practices at 28000 Meadow Dr Unit 110, Evergreen, CO 80439. The listed phone number is (720) 990-5500.

What is Jonathon Jundt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jonathon Jundt enrolled in Medicare?

No. Jonathon Jundt has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jonathon Jundt accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Jonathon Jundt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathon Jundt was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.