Empire Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10770 Issued in CO

Legal business name

EMPIRE DENTAL LLC

Practice address

1076 S Sable Blvd
Aurora, CO 80012-3796

Phone

(303) 369-5517

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Sigman, DDS

Title

MBR

Phone

(816) 547-0941

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1144767336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 SPINE RD",
            "address_2": "STE D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 S SABLE BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123796",
            "telephone_number": "303-369-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "SIGMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "816-547-0941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.