Active NPI
Laurence Eggart
- Dentist
- Aurora, CO
National Provider Identifier
1144865445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00203620
- Practice address
- 10650 Garden Dr Unit 106
Aurora, CO 80012-7019 - Phone
- (303) 366-5100
- NPI assigned
- Nov 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00203620 | CO | Primary |
Addresses
Primary practice location
10650 Garden Dr Unit 106
Aurora, CO 80012-7019
Mailing address
13650 E Colfax Ave Apt 4503
Aurora, CO 80011-7075
Phone (843) 446-4667
Other practice location 1
3445 Salida St Ste 30
Aurora, CO 80011-5000
Phone (303) 366-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203620 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Valley Ranch Modern Smiles and Orthodontics, LLP | Past | Accepting new patients | |
| Aurora Modern Dentistry, LLP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Aurora, CO
- NPI 1730410978
-
- General Practice Dentistry
- Aurora, CO
- NPI 1104106095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573344000000",
"number": "1144865445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13650 E COLFAX AVE APT 4503",
"city": "AURORA",
"state": "CO",
"postal_code": "800117075",
"telephone_number": "843-446-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 GARDEN DR UNIT 106",
"city": "AURORA",
"state": "CO",
"postal_code": "800127019",
"telephone_number": "303-366-5100"
}
],
"practiceLocations": [
{
"address_1": "3445 Salida St Ste 30",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800115000",
"country_code": "US",
"telephone_number": "303-366-3383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGGART",
"first_name": "LAURENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-10",
"last_updated": "2019-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00203620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.