Ambida Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7930 Issued in CO

Legal business name

AMBIDA FAMILY DENTISTRY, PC

Practice address

9695 S Yosemite St Ste 225
Lone Tree, CO 80124-2890

Phone

(303) 790-8338

Fax

(300) 379-0833

NPI assigned

Oct 24, 2008

Last updated

Oct 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Cleto Ambida, D.M.D.NPI 1922171941

Title

President

Phone

(303) 790-8338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Sandra Cleto Ambida, DMD

  • General Practice Dentistry
  • Lone Tree, CO
  • NPI 1922171941
  NPD (past) Authorized official

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1205089083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST STE 225",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242890",
            "telephone_number": "303-790-8338",
            "fax_number": "300-379-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST STE 225",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242890",
            "telephone_number": "303-790-8338",
            "fax_number": "300-379-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIDA FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "AMBIDA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "CLETO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-790-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE 'S' CORPORATION",
            "identifier": "1922171941",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Altitude Surgery Center Lone Tree PLLC
• Jacob Nathaniel Alvis, DC
• Lauren Amacker, PA-C
• Carolina Amashta
• Christina Amaya
• Sandra Cleto Ambida, DMD
• Amanda Amsdell, OD
• Camille Anaya, PHARMD
• Scott R Andersen, MD
• Hans Anderson

• General Practice Dentistry in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.