Saddle Rock Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SADDLE ROCK FAMILY DENTISTRY PLLC

Practice address

5657 S Himalaya St Ste 270
Centennial, CO 80015-5310

Phone

(303) 690-5658

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Credentialing Director

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Saddle Rock Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard D Stoker, D.M.D.

  • Dentist
  • Idaho Falls, ID
  • NPI 1376718460

  General Practice

  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1063009223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST STE 270",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155310",
            "telephone_number": "303-690-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST STE 270",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155310",
            "telephone_number": "303-690-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE ROCK FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddle Rock Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy M Sabad, BSN RN
• Firas Sabbagh
• Susan E. Sabini, MA, ATR-BC, LPC
• Robert Alan Sachs, M.D.
• Saddle Rock Chiropractic Center
• Saddle Rock Pharmacy LLC
• Saddle Rock Pharmacy LLC
• Serena Sadler, PHARM D
• Safeway
• Lailah Safi

• General Practice Dentistry in Centennial, CO
• Providers in Centennial, 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 Dec 22, 2020; 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.