Hero Dental of South Denver PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HERO DENTAL OF SOUTH DENVER PC

Practice address

7405 E Iliff Ave
Denver, CO 80231-5368

Phone

(303) 752-6692

Fax

(303) 752-6693

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Ronald B Montano, DDS

Title

Dentist/Owner

Phone

(719) 576-1850

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Adventure Dental and Vision Doing business as

Tax ID family

Hero Dental of South Denver PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hero Dental of South Denver PC

  • General Practice Dentistry
  • Denver, CO
  • NPI 1952905408
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hero Dental of South Denver PC

  • General Practice Dentistry
  • Denver, CO
  • NPI 1952905408
  NPPES parent name

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1194101964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST",
            "address_2": "STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 E ILIFF AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315368",
            "telephone_number": "303-752-6692",
            "fax_number": "303-752-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO DENTAL OF SOUTH DENVER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "719-576-1850",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46600019",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Dental and Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vannesa Hernandez
• Yasmine Hernandez
• Sheryl J Herner, PHARM.D.
• Hero Dental of Denver PC
• Hero Dental of Denver PC
• Hero Dental of South Denver PC
• Hero Vision of Denver LLC
• Hero Vision of Denver LLC
• Alisa Heronema, OTR/L, OTD
• Marc Heronemus, MD

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.