Dominic Evan Philpott, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00202061 Issued in CO

Practice address

10780 N. Washington Ave.
Northglenn, CO 80233

Phone

(303) 452-6630

Fax

(303) 252-0237

NPI assigned

Aug 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Boulder Dental Partners PLLP

  • General Practice Dentistry
  • Boulder, CO
  • NPI 1861246902
  NPD Authorized official
• Comfort Dental Group of Northglenn

  • General Practice Dentistry
  • Northglenn, CO
  • NPI 1720133499
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1053744136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 N. WASHINGTON AVE.",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-452-6630",
            "fax_number": "303-252-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 N. WASHINGTON AVE.",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-452-6630",
            "fax_number": "303-252-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILPOTT",
        "first_name": "DOMINIC",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2013022866",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029483",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Duran Perez Jr., DC
• Jayme Peterson, NP-C
• Danielle Nicole Pettit
• Anna Belle Pfau
• Tiffany Pflieger
• Phoenix Rising Mental Health PLLC
• Antoinette Picone, CMT
• Jeanne Ann Pierce, LPC
• Tamara Lynn Pierce, LNLRCMT
• Heather Piernik, LCSW

• General Practice Dentistry in Northglenn, CO
• Providers in Northglenn, 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 Feb 6, 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.