Greenwood Village Dental LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

GREENWOOD VILLAGE DENTAL LLC

Practice address

8000 E Prentice Ave Ste D7
Greenwood Village, CO 80111-2728

Phone

(303) 835-9277

NPI assigned

Oct 29, 2019

Last updated

Oct 29, 2019By 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

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1013551530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE STE D7",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112728",
            "telephone_number": "303-835-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE STE D7",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112728",
            "telephone_number": "303-835-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD VILLAGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenwood Dental Arts
• Greenwood Dental Associates
• Greenwood Dermatology Associates PC
• Greenwood Physical Therapy&Acupuncture, Inc
• Greenwood Therapy Institute
• Greenwood Village Family Medicine PC
• Greenwood Village Group Health, LLC
• Greenwood Village Psychology, LLC
• Greenwood Village Spine Injury and Chriopractic LLC
• Hannah Elaine Gregg, CAA

• Periodontics in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.