NPIMap

Organization Active NPI

Denver Periodontics and Implant Dentistry

  • Periodontics
  • Centennial, CO
National Provider Identifier
1104181940
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DENVER PERIODONTICS AND IMPLANT DENTISTRY
Practice address
7384 S Alton Way
Suite 101
Centennial, CO 80112-2369
Phone
(303) 721-1173
Fax
(303) 721-1179
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. Katherine D Wilson, PC
Title
Owner
Phone
(303) 721-1173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

7384 S Alton Way
Suite 101
Centennial, CO 80112-2369

Mailing address

7384 S Alton Way
Suite 101
Centennial, CO 80112-2369
Phone (303) 721-1173

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1104181940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7384 S ALTON WAY",
            "address_2": "SUITE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122369",
            "telephone_number": "303-721-1173",
            "fax_number": "303-721-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7384 S ALTON WAY",
            "address_2": "SUITE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122369",
            "telephone_number": "303-721-1173",
            "fax_number": "303-721-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER PERIODONTICS AND IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-721-1173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.