Organization Active NPI

Belmar Park Dental Care, PC

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1205201282
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CO 7064 Issued in CO
Legal business name
BELMAR PARK DENTAL CARE, PC
Practice address
1555 S Wadsworth Blvd
Lakewood, CO 80232-6832
Phone
(303) 986-9522
Fax
(303) 986-1869
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Dr. David G Collins, DDS, FICOI
Title
Owner
Phone
(303) 986-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CO 7064 CO Primary

Addresses

Primary practice location

1555 S Wadsworth Blvd
Lakewood, CO 80232-6832

Mailing address

1555 S Wadsworth Blvd
Lakewood, CO 80232-6832
Phone (303) 986-9522

Other identifiers 2

IdentifierTypeStateIssuer
1346212529OtherCONPI
1679745160OtherCONPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1205201282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326832",
            "telephone_number": "303-986-9522",
            "fax_number": "303-986-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326832",
            "telephone_number": "303-986-9522",
            "fax_number": "303-986-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMAR PARK DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-986-9522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, FICOI"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "CO 7064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346212529",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679745160",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.