New Image Dental Implant Center

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

CO-104214 Issued in CO

Legal business name

NEW IMAGE DENTAL IMPLANT CENTER

Practice address

3737 E 1St Ave
Denver, CO 80206-7510

Phone

(303) 321-8400

NPI assigned

Jul 23, 2010

Last updated

Jul 23, 2010By 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

Jennifer Lynn Miller

Title

Office Administrator

Phone

(303) 321-8400

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1215240882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 E 1ST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802067510",
            "telephone_number": "303-321-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 E 1ST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802067510",
            "telephone_number": "303-321-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-321-8400"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "CO-104214",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "CO-7149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STARE LICENSE DR.DOBRO",
            "identifier": "CO-104214",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE DR. STEIN",
            "identifier": "CO-7149",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Denver, CO
• Providers in Denver, CO by specialty
• Prosthodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.