Organization Active NPI

Open and Affordable Dental Centennial East

  • General Practice Dentistry
  • Centennial, CO
National Provider Identifier
1205799491
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OPEN AND AFFORDABLE DENTAL CENTENNIAL EAST
Practice address
6726 S Revere Pkwy Ste 140
Centennial, CO 80112-3962
Phone
(303) 578-6559
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Carly Woods
Title
Chief Operations Officer
Phone
(720) 280-6584

Specialties & licenses 1

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

Addresses

Primary practice location

6726 S Revere Pkwy Ste 140
Centennial, CO 80112-3962

Mailing address

6726 S Revere Pkwy Ste 140
Centennial, CO 80112-3962
Phone (303) 578-6559

National Provider Directory

National Provider Directory

Locations

6726 S Revere Pkwy
Ste 140
Centennial, CO 80112
Phone (303) 578-6559

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1205799491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 S REVERE PKWY STE 140",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123962",
            "telephone_number": "303-578-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 S REVERE PKWY STE 140",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123962",
            "telephone_number": "303-578-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN AND AFFORDABLE DENTAL CENTENNIAL EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "720-280-6584"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.