Ccdi Denver PDC PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CCDI DENVER PDC PLLC

Doing business as

Cherry Creek Dental Implant

Practice address

1573 S Broadway
Denver, CO 80210-2607

Phone

(303) 333-1844

Fax

(720) 370-4777

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Scott Gene Ferguson Jr., DDS

Title

Owner

Phone

(303) 333-1844

Specialties & licenses 4

Addresses

Other names 1

• Cherry Creek Dental Implant Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassio Castro, D.M.D.

  • General Practice Dentistry
  • Denver, CO
  • NPI 1689961765
  NPD (past)

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1013573815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970484",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840970309",
            "telephone_number": "801-350-3460",
            "fax_number": "801-335-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 S BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102607",
            "telephone_number": "303-333-1844",
            "fax_number": "720-370-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCDI DENVER PDC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-333-1844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Creek Dental Implant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• CC Home Care LLC (Home Instead)
• CD Colorado Pharmacy LLC (Red Rock Pharmacy)
• Cdoc
• Denise Oliva Ceballos
• Jose C Cebrian, M.D.
• Cedar Grove ABA Co LLC

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.