Organization Active NPI

Commerce City Family Dental, L.L.C.

  • General Practice Dentistry
  • Commerce City, CO
National Provider Identifier
1144640210
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMMERCE CITY FAMILY DENTAL, L.L.C.
Practice address
4972 E. 62ND Ave.
Ste. B-1
Commerce City, CO 80022
Phone
(303) 288-4969
Fax
(303) 286-6727
NPI assigned
Apr 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Mark Allen Karla, DMD
Title
Owner/Dentist
Phone
(303) 288-4969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CO Primary

Addresses

Primary practice location

4972 E. 62ND Ave.
Ste. B-1
Commerce City, CO 80022

Mailing address

4972 E. 62ND Ave.
Ste. B-1
Commerce City, CO 80022
Phone (303) 288-4969

Other identifiers 1

IdentifierTypeStateIssuer
37433741MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1144640210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 E. 62ND AVE.",
            "address_2": "STE. B-1",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "80022",
            "telephone_number": "303-288-4969",
            "fax_number": "303-286-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 E. 62ND AVE.",
            "address_2": "STE. B-1",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "80022",
            "telephone_number": "303-288-4969",
            "fax_number": "303-286-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE CITY FAMILY DENTAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "KARLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-288-4969",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37433741",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.