Active NPI
Creekside Commons Dentistry PLLC
Doing business as Creekside Premier Dental
- Dental Clinic/Center
- Thornton, CO
National Provider Identifier
1255051710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CREEKSIDE COMMONS DENTISTRY PLLC
- Doing business as
- Creekside Premier Dental
- Practice address
- 6920 E 128TH Ave
Suite 160
Thornton, CO 80602 - Phone
- (909) 569-2456
- NPI assigned
- Sep 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darwin Ferng
- Title
- General Dentist
- Phone
- (909) 569-2456
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
6920 E 128TH Ave
Suite 160
Thornton, CO 80602
Mailing address
3912 S Wadsworth Blvd Apt 310
Lakewood, CO 80235-2269
Phone (909) 569-2456
Other names 1
- Creekside Premier Dental
National Provider Directory
National Provider DirectoryLocations
6920 E 128th Ave
Ste 160
Thornton, CO 80602
Phone (909) 569-2456
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Florence, AL
- NPI 1609492859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662336000000",
"number": "1255051710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 S WADSWORTH BLVD APT 310",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352269",
"telephone_number": "909-569-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6920 E 128TH AVE",
"address_2": "SUITE 160",
"city": "THORNTON",
"state": "CO",
"postal_code": "80602",
"telephone_number": "909-569-2456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREEKSIDE COMMONS DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-05",
"certification_date": "2022-09-05",
"status": "A",
"authorized_official_last_name": "FERNG",
"authorized_official_first_name": "DARWIN",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "909-569-2456"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Creekside Premier Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.