Organization Active NPI

Dandelion Medical Aesthetics, LLC

  • Clinic/Center
  • Littleton, CO
National Provider Identifier
1033655493
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
APN.0991292-NP Issued in CO
Legal business name
DANDELION MEDICAL AESTHETICS, LLC
Practice address
8174 S. Kipling Pkwy #190
Suite 119
Littleton, CO 80127-6320
Phone
(720) 471-7017
NPI assigned
Jan 10, 2017
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dawn Morris, FNP-CNPI 1699176412
Title
Owner
Phone
(720) 471-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X APN.0991292-NP CO Primary

Addresses

Primary practice location

8174 S. Kipling Pkwy #190
Suite 119
Littleton, CO 80127-6320

Mailing address

8174 S. Kipling Pkwy #190
Suite 119
Littleton, CO 80127-6320
Phone (720) 471-7017

Other identifiers 1

IdentifierTypeStateIssuer
58482539MedicaidCO

National Provider Directory

National Provider Directory

Locations

8174 S Kipling Pkwy
Unit 190
Littleton, CO 80127
Phone (720) 471-7017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1033655493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8174 S. KIPLING PKWY #190",
            "address_2": "SUITE 119",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276320",
            "telephone_number": "720-471-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8174 S. KIPLING PKWY #190",
            "address_2": "SUITE 119",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276320",
            "telephone_number": "720-471-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDELION MEDICAL AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-471-7017",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "APN.0991292-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58482539",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.