4TH Avenue Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

4TH AVENUE FAMILY DENTISTRY, LLC

Practice address

390 University Blvd
Denver, CO 80206-4125

Phone

(303) 333-0771

Fax

(303) 333-0779

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Swain, DDSNPI 1902804891

Title

Dentist

Phone

(303) 333-0771

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Berglund Swain, D.D.S.

  • General Practice Dentistry
  • Denver, CO
  • NPI 1902804891
  Authorized official Same address or phone
• Donald J. Batliner, DDS

  • General Practice Dentistry
  • Denver, CO
  • NPI 1831197763
  NPD (past)
• Terrence Shea Batliner, DDS, MBA

  • General Practice Dentistry
  • Denver, CO
  • NPI 1366591125
  NPD (past)
• Kimberly Chapman, RDH

  • Dental Hygienist
  • Denver, CO
  • NPI 1841144466
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1013100387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064125",
            "telephone_number": "303-333-0771",
            "fax_number": "303-333-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064125",
            "telephone_number": "303-333-0771",
            "fax_number": "303-333-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4TH AVENUE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-333-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 35TH Avenue Eneterprises P C
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• 3940 Express Services LLC
• 4 Best Health Care LLC
• 4Seasons Comfort Care
• 5280 Dentistry and Anesthesia
• 5280 Elevated Home Care LLC
• 5280 Iom Pro, LLC
• 5280 Iom, LLC
• 5280 Medical Associates

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.