Organization Active NPI

Southlands Comprehensive Dentistry

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1043600166
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104348 Issued in CO
Legal business name
SOUTHLANDS COMPREHENSIVE DENTISTRY
Practice address
6240 S Main St Ste 220
Aurora, CO 80016-5412
Phone
(303) 400-4865
Fax
(303) 400-5051
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Thomas Thomasson, DDS
Title
Owner/Dentist
Phone
(303) 400-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 104348 CO Primary

Addresses

Primary practice location

6240 S Main St Ste 220
Aurora, CO 80016-5412

Mailing address

6240 S Main St Ste 220
Aurora, CO 80016-5412
Phone (303) 400-4865

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1043600166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST STE 220",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165412",
            "telephone_number": "303-400-4865",
            "fax_number": "303-400-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST STE 220",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165412",
            "telephone_number": "303-400-4865",
            "fax_number": "303-400-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLANDS COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "THOMASSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-400-4865",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.