Individual provider Active NPI

Emily Louise Saunders Bundy, D.D.S.

  • Dentist
  • Lakewood, CO
National Provider Identifier
1053561043
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN00010227 Issued in CO
Practice address
12600 W Colfax Ave
Ste B160
Lakewood, CO 80215-3733
Phone
(303) 237-0307
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN00010227 CO Primary
Dentist 122300000X DD3122 NM

Addresses

Primary practice location

12600 W Colfax Ave
Ste B160
Lakewood, CO 80215-3733

Mailing address

12600 W Colfax Ave
Ste B160
Lakewood, CO 80215-3733
Phone (303) 237-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN00010227COMDDentist
DD3122NMMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1053561043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE",
            "address_2": "STE B160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153733",
            "telephone_number": "303-237-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE",
            "address_2": "STE B160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153733",
            "telephone_number": "303-237-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS BUNDY",
        "first_name": "EMILY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00010227",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.