Individual provider Active NPI

Peggy R Swanson-Culbertson, D.D.S.

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1164519161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
HD104710 Issued in CO
Practice address
1860 Larimer St
Ste #240
Denver, CO 80202-1438
Phone
(303) 292-3366
Fax
(303) 292-3678
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X HD104710 CO Primary

Addresses

Primary practice location

1860 Larimer St
Ste #240
Denver, CO 80202-1438

Mailing address

162 Adams St
Suite #200-B
Denver, CO 80206-5239
Phone (303) 292-3366

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

LicenseStateTypeSpecialty
HD104710COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164519161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ADAMS ST",
            "address_2": "SUITE #200-B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065239",
            "telephone_number": "303-292-3366",
            "fax_number": "303-292-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 LARIMER ST",
            "address_2": "STE #240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021438",
            "telephone_number": "303-292-3366",
            "fax_number": "303-292-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON-CULBERTSON",
        "first_name": "PEGGY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "HD104710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.