Organization Active NPI

Homecare Dental Service, Inc.

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1063492155
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOMECARE DENTAL SERVICE, INC.
Practice address
7100 Broadway
Denver, CO 80221-2915
Phone
(303) 650-5800
Fax
(303) 650-5801
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mrs. Janet Lee
Title
Office Manager
Phone
(303) 650-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7100 Broadway
Denver, CO 80221-2915

Mailing address

7100 Broadway
Denver, CO 80221-2917
Phone (303) 650-5800

Other identifiers 1

IdentifierTypeStateIssuer
90824521MedicaidCO

National Provider Directory

National Provider Directory

Locations

7100 Broadway
Denver, CO 80221
Phone (303) 650-5800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1063492155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212917",
            "telephone_number": "303-650-5800",
            "fax_number": "303-650-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212915",
            "telephone_number": "303-650-5800",
            "fax_number": "303-650-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE DENTAL SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-650-5800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90824521",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 31, 2008; 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.