Summerbrook Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9285 Issued in CO

Legal business name

SUMMERBROOK DENTAL GROUP, LLC

Practice address

14991 E Hampden Ave Ste 370
Aurora, CO 80014-3996

Phone

(303) 693-1215

Fax

(303) 693-6452

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. James Toliver Craig, DDS

Title

Owner

Phone

(303) 693-1215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1205314762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE STE 370",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143996",
            "telephone_number": "303-693-1215",
            "fax_number": "303-693-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE STE 370",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143996",
            "telephone_number": "303-693-1215",
            "fax_number": "303-693-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERBROOK DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TOLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-693-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.