Individual provider Active NPI

Allison Threlkeld Davis, DDS

  • Pediatric Dentistry
  • Littleton, CO
National Provider Identifier
1053851485
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN.00203479 Issued in CO
Practice address
13402 W Coal Mine Ave # 125
Littleton, CO 80127-5407
Phone
(720) 615-6087
Fax
(720) 615-6086
NPI assigned
Mar 4, 2017
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN.00203479 CO Primary

Addresses

Primary practice location

13402 W Coal Mine Ave # 125
Littleton, CO 80127-5407

Mailing address

13402 W Coal Mine Ave Ste 125
Littleton, CO 80127-5407
Phone (720) 615-6087

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
DEN.00203479COMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout and Bloom Pediatric Dentistry, PLLC Pediatric Dentistry CurrentSince Jun 22, 2021 Accepting new patients
Dentistry for Children, PC Pediatric Dentistry PastSince May 22, 2022 Accepting new patients

Locations

13402 W Coal Mine Ave
Ste 125
Littleton, CO 80127
Phone (720) 615-6087

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1053851485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 W COAL MINE AVE STE 125",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275407",
            "telephone_number": "720-615-6087",
            "fax_number": "720-615-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 W COAL MINE AVE # 125",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275407",
            "telephone_number": "720-615-6087",
            "fax_number": "720-615-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALLISON",
        "middle_name": "THRELKELD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-04",
        "last_updated": "2021-05-28",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00203479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.