Castle Rock Endodontics, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

CASTLE ROCK ENDODONTICS, PLLC

Practice address

753 Maleta LN Ste 201
Castle Rock, CO 80108-7609

Phone

(720) 221-7774

Fax

(720) 221-4594

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Jake Minnich

Title

Business Director

Phone

(720) 221-7774

Specialties & licenses 1

Addresses

Other names 1

• Evolution Endodontics Other name

Locations

Practitioners 2

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

• Sarah Lowder, DDS

  • Endodontics
  • Littleton, CO
  • NPI 1235757378
  NPD (past)
• Shaun Soucie, D.D.S.

  • Endodontics
  • Castle Rock, CO
  • NPI 1780890608
  NPD (past)

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1134633563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 MALETA LN STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087609",
            "telephone_number": "720-221-7774",
            "fax_number": "720-221-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 MALETA LN STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087609",
            "telephone_number": "720-221-7774",
            "fax_number": "720-221-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE ROCK ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "720-221-7774"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolution Endodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Castle Rock Cosmetic and Family Dentistry
• Castle Rock Counseling, LLC
• Castle Rock Dental Group, P.C.
• Castle Rock Dental Prosthetics and Implants, P.C.
• Castle Rock Dermatology, PC
• Castle Rock Eyewear, Inc
• Castle Rock Family Dental, PLLC
• Castle Rock Family Physicians, P.C.
• Castle Rock Foot & Ankle Care PC
• Castle Rock Foot & Ankle, P.C.

• Endodontics in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.