Active NPI
Southlands Endodontics, PC
- Endodontics
- Aurora, CO
National Provider Identifier
1205030319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DEN8212
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Isaac Whitney, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DEN8212 | Other | CO | DENTIST LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Endodontics
- Centennial, CO
- NPI 1104931674
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
- Stephanie Nicole Southerlin
- Southlands Comprehensive Dentistry
- Southlands Dental Associates, LLC
- Southlands Dental LLC
- Southlands Endodontics
- Southlands Orthodontics PLLC
- Southlands Physical Therapy LLC
- Southlands Vision Associates (Altitude Eye Care at Southlands)
- Abbie L Southwick
- Daniela Liliana Souza, FNP
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.