Organization Active NPI

Lone Tree Pediatric Dentistry

  • Pediatric Dentistry
  • Lone Tree, CO
National Provider Identifier
1215303854
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10431 Issued in CO
Legal business name
LONE TREE PEDIATRIC DENTISTRY
Practice address
10450 Park Meadows Dr
#308
Lone Tree, CO 80124-5529
Phone
(303) 793-0899
Fax
(303) 793-0895
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Nicholas W Miner, DMDNPI 1346564457
Title
DMD
Phone
(303) 793-0899

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 10431 CO Primary

Addresses

Primary practice location

10450 Park Meadows Dr
#308
Lone Tree, CO 80124-5529

Mailing address

10450 Park Meadows Dr
#308
Lone Tree, CO 80124-5529
Phone (303) 793-0899

National Provider Directory

National Provider Directory

Locations

10450 Park Meadows Dr
Ste 308
Lone Tree, CO 80124
Phone (303) 793-0899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1215303854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "#308",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "303-793-0899",
            "fax_number": "303-793-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "#308",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "303-793-0899",
            "fax_number": "303-793-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE TREE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "303-793-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "10431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.