Castle Pines, Dental Professional, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

202000 Issued in CO

Legal business name

CASTLE PINES, DENTAL PROFESSIONAL, LLC

Doing business as

Castle Pines Dental Group

Practice address

562 E Castle Pines Pkwy
Suite C-8
Castle Pines, CO 80108-4609

Phone

(720) 457-1111

Fax

(888) 790-7062

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Danhof, DMD

Title

Associate

Phone

(720) 457-1111

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Castle Pines Dental Group Doing business as

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1043612138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 E CASTLE PINES PKWY",
            "address_2": "SUITE C-8",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801084609",
            "telephone_number": "720-457-1111",
            "fax_number": "888-790-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 E CASTLE PINES PKWY",
            "address_2": "SUITE C-8",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801084609",
            "telephone_number": "720-457-1111",
            "fax_number": "888-790-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE PINES, DENTAL PROFESSIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "DANHOF",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "720-457-1111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "202000",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202000",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "202000",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "202000",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "20200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "202000",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Pines Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christa Cartier, RN
• Castle Pines Family Practice, LLC
• Castle Pines Pediatrics, PLLC (Castle Pines Pediatrics)
• Castle Pines Speech and Language LLC
• Castle Pines Urgent Care, LLC
• Wei-Ling Wu Chang, D.D.S.
• Children's Urinary and Bowel Solutions Clinic and Consulting, LLC (CUBS Clinic)
• Heidi K Christensen, M.D.
• Mark Dean Christensen, MD
• Jason Chechen Chu, M.D.

• General Practice Dentistry in Castle Pines, CO
• Providers in Castle Pines, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.