NPIMap

Organization Active NPI

Modern Dental Professionals Colorado PC

Doing business as Bright Now Dental

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1053497735
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9133 Issued in CO
Legal business name
MODERN DENTAL PROFESSIONALS COLORADO PC
Doing business as
Bright Now Dental
Practice address
1955 Arapahoe St
Suite #a
Denver, CO 80202-1851
Phone
(303) 296-0888
Fax
(303) 292-2634
NPI assigned
Oct 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Charles E. Stirewalt, DMD
Title
Owner
Phone
(714) 428-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9133 CO Primary

Addresses

Primary practice location

1955 Arapahoe St
Suite #a
Denver, CO 80202-1851

Mailing address

201 Sandpointe Ave FL 8
Santa Ana, CA 92707-5778
Phone (714) 428-1300

Other names 1

  • Bright Now Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Modern Dental Profesionals Co PC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053497735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SANDPOINTE AVE FL 8",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075778",
            "telephone_number": "714-428-1300",
            "fax_number": "714-428-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 ARAPAHOE ST",
            "address_2": "SUITE #A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021851",
            "telephone_number": "303-296-0888",
            "fax_number": "303-292-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STIREWALT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-428-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.