Grace E. Rudersdorf, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

202316 Issued in CO

Legal business name

GRACE E. RUDERSDORF, DDS, PLLC

Doing business as

Golden Hill Family Dentistry

Practice address

11290 W Alameda Ave Ste a-100
Lakewood, CO 80226-2575

Phone

(303) 237-1553

Fax

(303) 232-1683

NPI assigned

Nov 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Grace Rudersdorf, DDS

Title

Owner/Dentist

Phone

(303) 237-1553

Specialties & licenses 1

Addresses

Other names 1

• Golden Hill Family Dentistry Doing business as

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1013429778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11290 W ALAMEDA AVE STE A-100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262575",
            "telephone_number": "303-237-1553",
            "fax_number": "303-232-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11290 W ALAMEDA AVE STE A-100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262575",
            "telephone_number": "303-237-1553",
            "fax_number": "303-232-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE E. RUDERSDORF, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "RUDERSDORF",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-237-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "202316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Hill Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara Gose, DO
• Kelsey H. Goss
• Nour El Houda Goucem
• Hailey Gould, BCBA
• Sara Goyzueta, PA-C
• Grace Leedy, LLC
• Grace Medical Inc
• Grace Physical Therapy, LLC
• Anand Grace
• Leana Kaye Grace, DDS

• Dental Clinic/Center in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.