Organization Active NPI

Creekside Commons Dentistry PLLC

Doing business as Creekside Premier Dental

  • Dental Clinic/Center
  • Thornton, CO
National Provider Identifier
1255051710
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Darwin FerngNPI 1609492859
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.