Organization Active NPI

South Denver Dental Group LLP

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1174844955
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOUTH DENVER DENTAL GROUP LLP
Practice address
850 E Harvard Ave
Suite 375
Denver, CO 80210-5073
Phone
(303) 733-0138
Fax
(303) 733-6406
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. Mitchell Jared Williams, DDSNPI 1639377955
Title
General Partner
Phone
(303) 733-0138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

850 E Harvard Ave
Suite 375
Denver, CO 80210-5073

Mailing address

850 E Harvard Ave
Suite 375
Denver, CO 80210-5073
Phone (303) 733-0138

National Provider Directory

National Provider Directory

Locations

850 E Harvard Ave
Ste 375
Denver, CO 80210
Phone (303) 733-0138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1174844955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "SUITE 375",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-733-0138",
            "fax_number": "303-733-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "SUITE 375",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-733-0138",
            "fax_number": "303-733-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DENVER DENTAL GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "303-733-0138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jun 16, 2010; 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.