Organization Active NPI

80TH and Sheridan Dental Prof LLC

Doing business as Comfort Dental 80th and Sheridan

  • General Practice Dentistry
  • Westminster, CO
National Provider Identifier
1194966382
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9840 Issued in CO
Legal business name
80TH AND SHERIDAN DENTAL PROF LLC
Doing business as
Comfort Dental 80th and Sheridan
Practice address
7990 Sheridan Blvd
Westminster, CO 80003-6213
Phone
(303) 650-4101
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Constanza L Cubillos, DDSNPI 1275772774
Title
Owner/Partner
Phone
(303) 650-4101

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 Dentistry 1223G0001X 9840 CO Primary

Addresses

Primary practice location

7990 Sheridan Blvd
Westminster, CO 80003-6213

Mailing address

7990 Sheridan Blvd
Westminster, CO 80003-6213
Phone (303) 650-4101

Other names 1

  • Comfort Dental 80th and Sheridan Doing business as

National Provider Directory

National Provider Directory

Locations

7990 Sheridan Blvd
Westminster, CO 80003
Phone (303) 650-4101

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1194966382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800036213",
            "telephone_number": "303-650-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800036213",
            "telephone_number": "303-650-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "80TH AND SHERIDAN DENTAL PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "CUBILLOS",
        "authorized_official_first_name": "CONSTANZA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "303-650-4101",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental 80th and Sheridan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.