Clement Park Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLEMENT PARK DENTAL CARE, LLC

Doing business as

Clement Park Dental Care

Practice address

8500 W. Bowles Ave.
Suite 305
Littleton, CO 80123-3276

Phone

(303) 972-2988

Fax

(216) 584-1352

NPI assigned

Oct 26, 2006

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

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

Authorized official

Name

Rachel Nittinger

Title

Manager Credentialing

Phone

(972) 755-0816

Specialties & licenses 7

Addresses

Other names 1

• Clement Park Dental Care Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hang Hoang

  • General Practice Dentistry
  • Littleton, CO
  • NPI 1538387774
  NPD (past)
• Bridgit Newberg

  • Dental Hygienist
  • Littleton, CO
  • NPI 1780896548
  NPD (past)
• Kathleen Zaccagnini, RDH

  • Dental Hygienist
  • Littleton, CO
  • NPI 1831329168
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1114002391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 DALLAS PKWY STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W. BOWLES AVE.",
            "address_2": "SUITE 305",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233276",
            "telephone_number": "303-972-2988",
            "fax_number": "216-584-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENT PARK DENTAL CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "NITTINGER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER CREDENTIALING",
        "authorized_official_telephone_number": "972-755-0816"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clement Park Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Clarke, RN
• Donna Jean Clarkin I, NP
• Clarks Condensed, LLC (The Breastfeeding Mama)
• Kristine A Clay, PA
• Clear River Counseling, LLC
• Catherine Clemente, LCSW
• Lauren Christina Clements, L.C.S.W.
• Megan Clift
• Brenna Cline, LAT, ATC
• Foster Winfield Cline Jr., M.D.

• General Practice Dentistry in Littleton, CO
• Providers in Littleton, 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 Mar 20, 2018; 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.