Organization Active NPI

Amanda Vanderstelt, DMD, PLLC

  • Dental Clinic/Center
  • Denver, CO
National Provider Identifier
1194425090
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMANDA VANDERSTELT, DMD, PLLC
Practice address
1215 S Pearl St
Denver, CO 80210-1537
Phone
(303) 521-3333
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Dr. Amanda Vanderstelt, DMD, MSDNPI 1578882353
Title
Orthodontist
Phone
(502) 797-5380

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1215 S Pearl St
Denver, CO 80210-1537

Mailing address

574 Eagle Nest CT
Golden, CO 80401-0907
Phone (502) 797-5380

National Provider Directory

National Provider Directory

Locations

1215 S Pearl St
Denver, CO 80210
Phone (303) 424-4830

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": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1194425090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 EAGLE NEST CT",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010907",
            "telephone_number": "502-797-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S PEARL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101537",
            "telephone_number": "303-521-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA VANDERSTELT, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "VANDERSTELT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "502-797-5380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Mar 8, 2023; 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.