NPIMap

Organization Active NPI

Hearthside Dentistry

  • Dentist
  • Thornton, CO
National Provider Identifier
1235541426
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10391 Issued in CO
Legal business name
HEARTHSIDE DENTISTRY
Practice address
16578 N Washington St
Thornton, CO 80023
Phone
(303) 280-2285
NPI assigned
May 22, 2014
Last updated
May 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Christina McMillon, DMDNPI 1114239340
Title
Dentist/Owner
Phone
(303) 280-2285

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 10391 CO Primary

Addresses

Primary practice location

16578 N Washington St
Thornton, CO 80023

Mailing address

16578 N Washington St
Thornton, CO 80023
Phone (303) 280-2285

National Provider Directory

National Provider Directory

Locations

16578 Washington St
Thornton, CO 80023
Phone (303) 280-2285

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": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1235541426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16578 N WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80023",
            "telephone_number": "303-280-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16578 N WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80023",
            "telephone_number": "303-280-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSIDE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "303-280-2285",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.