Organization Active NPI

Clear Dental Studio PC

  • Dentist
  • Broomfield, CO
National Provider Identifier
1205497690
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CLEAR DENTAL STUDIO PC
Practice address
645 Flatiron Marketplace Dr Unit a
Broomfield, CO 80021-8033
Phone
(303) 321-3040
Fax
(303) 321-3040
NPI assigned
Jun 26, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Martha HaNPI 1255770244
Title
Owner
Phone
(303) 321-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

645 Flatiron Marketplace Dr Unit a
Broomfield, CO 80021-8033

Mailing address

645 Flatiron Marketplace Dr Unit a
Broomfield, CO 80021-8033
Phone (303) 321-3040

National Provider Directory

National Provider Directory

Locations

645 Flatiron Marketplace Dr
Unit A
Broomfield, CO 80021
Phone (303) 321-3040

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1205497690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 FLATIRON MARKETPLACE DR UNIT A",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218033",
            "telephone_number": "303-321-3040",
            "fax_number": "303-321-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 FLATIRON MARKETPLACE DR UNIT A",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218033",
            "telephone_number": "303-321-3040",
            "fax_number": "303-321-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR DENTAL STUDIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-321-3040"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.