At Home Mobile Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AT HOME MOBILE DENTAL CORP.

Practice address

18551 E Mainstreet # 103
Parker, CO 80134-4951

Phone

(720) 666-1162

NPI assigned

Sep 9, 2019

Last updated

Sep 9, 2019By 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. Nathaniel Conrad Cejka, DDS

Title

Owner

Phone

(720) 666-1162

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1205485612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18551 E MAINSTREET # 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344951",
            "telephone_number": "720-666-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18551 E MAINSTREET # 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344951",
            "telephone_number": "720-666-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME MOBILE DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "CEJKA",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-666-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@AtHomeMobileDental.com",
            "affiliation": "N",
            "endpointDescription": "Office Secured Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "18551 E Mainstreet # 103",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801344951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Associated Eyecare Services, LLC
• Associated Eyecare Services, LLC
• Associates in Maxillofacial and Oral Surgery, PLLC (AMOS - Parker)
• Aster Home Health Care, LLC (Excellence Home Care)
• Ashley Nichole Asuncion, LCSW
• Christina Dessie Athens, OD
• Audiology Services Company USA, LLC
• Audiology Solutions, LLC
• August Advice
• Aurora Pediatric Associates, LLP (Advanced Pediatric Associates, LLP)

• General Practice Dentistry in Parker, CO
• Providers in Parker, 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 Sep 9, 2019; 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.