Active NPI
Giselle Serrano, DDS
- Dentist
- Erie, CO
National Provider Identifier
1013561414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00204051
- Practice address
- 1927 Colorado State Hwy 7 Ste 101
Ste 101
Erie, CO 80516 - Phone
- (720) 548-4240
- NPI assigned
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00204051 | CO | Primary |
Addresses
Primary practice location
1927 Colorado State Hwy 7 Ste 101
Ste 101
Erie, CO 80516
Mailing address
9102 Gale Blvd Unit 3
Thornton, CO 80260-4976
Phone (305) 213-8806
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.eriemoderndentistry.com/contact/contact-us.html |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204051 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Modern Dentistry, LLP | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1013561414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9102 GALE BLVD UNIT 3",
"city": "THORNTON",
"state": "CO",
"postal_code": "802604976",
"telephone_number": "305-213-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 COLORADO STATE HWY 7 STE 101",
"address_2": "STE 101",
"city": "ERIE",
"state": "CO",
"postal_code": "80516",
"telephone_number": "720-548-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "GISELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00204051",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.eriemoderndentistry.com/contact/contact-us.html",
"affiliation": "N",
"address_1": "1927 Colorado State Hwy 7 Ste 101",
"address_2": "Ste 101",
"city": "Erie",
"state": "CO",
"country_code": "US",
"postal_code": "80516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.