Organization Active NPI

Southlands Endodontics, PC

  • Endodontics
  • Aurora, CO
National Provider Identifier
1205030319
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DEN8212 Issued in CO
Legal business name
SOUTHLANDS ENDODONTICS, PC
Practice address
6240 S Main St Ste 285
Aurora, CO 80016-5321
Phone
(303) 366-7668
Fax
(303) 366-7669
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Isaac Whitney, DDSNPI 1104931674
Title
Endodontist
Phone
(303) 397-7668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X DEN8212 CO Primary

Addresses

Primary practice location

6240 S Main St Ste 285
Aurora, CO 80016-5321

Mailing address

10450 Park Meadows Dr Ste 102
Lone Tree, CO 80124-5528
Phone (303) 397-7668

Other identifiers 1

IdentifierTypeStateIssuer
DEN8212OtherCODENTIST LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205030319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR STE 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245528",
            "telephone_number": "303-397-7668",
            "fax_number": "303-397-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST STE 285",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165321",
            "telephone_number": "303-366-7668",
            "fax_number": "303-366-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLANDS ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "303-397-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "DEN8212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE",
            "identifier": "DEN8212",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.