NPIMap

Organization Active NPI

Littleton Mobile Dentistry

  • Dentist
  • Lakewood, CO
National Provider Identifier
1154576858
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7815 Issued in CO
Legal business name
LITTLETON MOBILE DENTISTRY
Practice address
1200 S Wadsworth Blvd
Suite 300
Lakewood, CO 80232-5473
Phone
(303) 922-1119
Fax
(303) 922-1145
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Mr. Josh Freiberg
Title
Manager
Phone
(303) 922-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7815 CO Primary

Addresses

Primary practice location

1200 S Wadsworth Blvd
Suite 300
Lakewood, CO 80232-5473

Mailing address

1200 S Wadsworth Blvd
Suite 300
Lakewood, CO 80232-5473
Phone (303) 922-1119

National Provider Directory

National Provider Directory

Locations

1200 S Wadsworth Blvd
Ste 300
Lakewood, CO 80232
Phone (303) 922-1119

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1154576858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S WADSWORTH BLVD",
            "address_2": "SUITE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325473",
            "telephone_number": "303-922-1119",
            "fax_number": "303-922-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S WADSWORTH BLVD",
            "address_2": "SUITE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325473",
            "telephone_number": "303-922-1119",
            "fax_number": "303-922-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLETON MOBILE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "FREIBERG",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-922-1119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "7815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.