Colorado Orthodontics Professional, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4397 Issued in CO

Legal business name

COLORADO ORTHODONTICS PROFESSIONAL, LLC

Doing business as

Colorado Orthodontics Group

Practice address

9227 E Lincoln Ave
Ste #800
Lone Tree, CO 80124-5506

Phone

(720) 943-2152

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Paul Hamersky

Title

Dentist

Phone

(720) 943-2152

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colorado Orthodontics Group Doing business as

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1164824769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE",
            "address_2": "STE #800",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245506",
            "telephone_number": "720-943-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE",
            "address_2": "STE #800",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245506",
            "telephone_number": "720-943-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ORTHODONTICS PROFESSIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "HAMERSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-943-2152"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "4397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "4397",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Orthodontics Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado Dental Orthodontist Practice, PLLC (Lone Tree Orthodontics)
• Colorado Dental Specialist Practice, LLC (Colorado Dental Specialists)
• Colorado Endocrinology, Thyroid and Diabetes Consultants, P.C.
• Colorado Kids Pediatric Dentistry (Drs. Fox, Waguespack & Norwood)
• Colorado Oral and Facial Cosmetic Surgery, PLLC
• Colorado Orthopaedics PC
• Colorado Permanente Medical Group, P.C. (Kaiser Permanente Ambulatory Surgical Center Lone Tree)
• Colorado Permanente Medical Group, P.C. (Kaiser Permanente Lone Tree Medical Offices)
• Colorado Permanente Medical Group, P.C. (Kaiser Permanente Lone Tree Urgent Care)
• Colorado Permanente Medical Group, P.C. (Kaiser Permanente Yosemite South Medical Offices)

• Orthodontics and Dentofacial Orthopedics Dentistry in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

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