Tequila Sunrise Broomfield PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEQUILA SUNRISE BROOMFIELD PLLC

Practice address

5015 W 120TH Ave
Broomfield, CO 80020-5606

Phone

(303) 466-2935

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kaushal Dhawan, DDSNPI 1831531748

Title

Dentist

Phone

(417) 379-7923

Specialties & licenses 1

Addresses

Other names 1

• Dental and implant centers of Colorado 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.

• Kaushal Kumar Dhawan, D.D.S

  • Prosthodontics
  • Centennial, CO
  • NPI 1831531748
  NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1124793476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 W 120TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205606",
            "telephone_number": "303-466-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 W 120TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205606",
            "telephone_number": "303-466-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEQUILA SUNRISE BROOMFIELD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "DHAWAN",
        "authorized_official_first_name": "KAUSHAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-379-7923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental and implant centers of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya S Tanner, PHD APN CNM PMHNP-BC
• Karen F Taylor, LMT
• Mary L Taylor, MSN, PMHNP
• Teamselect Home Care of Colorado, LLC
• Weihong Teng
• Tracy A Terrell, LPC
• Jennifer Brooke Teska
• The Interpersonal Healing Clinic, LLC
• The Little Clinic of Colorado LLC
• The Little Clinic of Colorado LLC

• General Practice Dentistry in Broomfield, CO
• Providers in Broomfield, 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 Aug 10, 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.