Creekside Endodontics, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN10252 Issued in CO

Legal business name

CREEKSIDE ENDODONTICS, LLC

Practice address

10450 Park Meadows Dr
Suite 306
Lone Tree, CO 80124-5529

Phone

(303) 524-9343

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Andrew Richard Stubbs, DMDNPI 1710963343

Title

)Wner

Phone

(303) 594-4621

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Andrew Richard Stubbs, DMD

  • Endodontics
  • Lone Tree, CO
  • NPI 1710963343
  NPD (past) Authorized official

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1144608282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "SUITE 306",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "303-524-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "SUITE 306",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "303-524-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": ")WNER",
        "authorized_official_telephone_number": "303-594-4621",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN10252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDREW STUBBS NPI NUMBER",
            "identifier": "1710963343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DENTAL LICENSE",
            "identifier": "DEN10252",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Cowan Wingfield, LPC
• Jennifer R Cox, ARNP
• Cpap Specialists LLC
• Kambi Lea Burr Crabb, LPC
• Erica Secrist Crane, CNIM
• Sarah Crenshaw, OTR
• Heather Nicole Cresmen, PA-C
• Jonathan Thomas Crowther, DO
• Layne Schnider Cryan, PA-C
• Amanda Cuddy, RN

• Dental Clinic/Center in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.