Dentistry 360

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00010276 Issued in CO

Legal business name

DENTISTRY 360

Practice address

5140 W Dartmouth Ave
Denver, CO 80236-2007

Phone

(720) 596-4760

Fax

(720) 596-4943

NPI assigned

May 24, 2016

Last updated

May 24, 2016By 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. Semiramida Condoianis, DDS

Title

Dentist

Phone

(720) 596-4760

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dentistry 3602 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dentistry360

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1235499294
  NPD tax ID

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1225485873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 W DARTMOUTH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362007",
            "telephone_number": "720-596-4760",
            "fax_number": "720-596-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 W DARTMOUTH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362007",
            "telephone_number": "720-596-4760",
            "fax_number": "720-596-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "CONDOIANIS",
        "authorized_official_first_name": "SEMIRAMIDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-596-4760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00010276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58206051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Health Professionals of Colorado (Aesthetic Designs of Cherry Creek)
• Dental Hygiene Wellness Clinic
• Dental Lifeline Network Colorado
• Dental Management Group LLC (Affordable Dental)
• Dental Sleep Medicine, LLC
• Dentistry for Colorado Kids, PLLC (Kids Choice Dental)
• Dentistry360
• Dentistryone of Colorado PC
• Dentists of Central Park, LLP (East Stapleton Dentistry)
• Dentists of Washington Park, LLP (Dentists of Washington Park)

• General Practice Dentistry in Denver, CO
• Providers in Denver, 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 May 24, 2016; 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.