Organization Active NPI

WCD-2, PLLC

  • General Practice Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1033638812
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6823 Issued in CO
Legal business name
WCD-2, PLLC
Practice address
200 W County Line Rd Ste 270
Highlands Ranch, CO 80129-2342
Phone
(303) 791-2570
Fax
(303) 683-4198
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
Cory Blackwood
Title
Accounting
Phone
(303) 779-2797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6823 CO Primary

Addresses

Primary practice location

200 W County Line Rd Ste 270
Highlands Ranch, CO 80129-2342

Mailing address

9400 Station St Ste 175
Lone Tree, CO 80124-6821
Phone (303) 779-5797

Other names 1

  • Heim Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1033638812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 STATION ST STE 175",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246821",
            "telephone_number": "303-779-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD STE 270",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292342",
            "telephone_number": "303-791-2570",
            "fax_number": "303-683-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCD-2, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "303-779-2797"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heim Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.