Active NPI
Mountain Dental Anesthesia LLC
- Dental Anesthesiology
- Lone Tree, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- Legal business name
- MOUNTAIN DENTAL ANESTHESIA LLC
- Practice address
- 8683 E Lincoln Ave Ste 130
Lone Tree, CO 80124-9812 - Phone
- (317) 459-0738
- NPI assigned
- Sep 10, 2021
- 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
- John Russell Yancey, DDS
- Title
- Dentist Anesthesiologist
- Phone
- (317) 459-0738
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 Anesthesiology | 1223D0004X | Primary |
Addresses
Primary practice location
8683 E Lincoln Ave Ste 130
Lone Tree, CO 80124-9812
Mailing address
12548 N 4TH St
Parker, CO 80134-9458
Phone (317) 459-0738
Other names 1
- Sunshine Dental Anesthesia
National Provider Directory
National Provider Directory- Tax ID family
- Mountain Dental Anesthesia LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Broomfield, CO
- NPI 1922642743
Locations
8683 E Lincoln Ave
Ste 130
Lone Tree, CO 80124
Phone (303) 484-1246
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Anesthesiology
- Lone Tree, CO
- NPI 1255622635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1265101356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12548 N 4TH ST",
"city": "PARKER",
"state": "CO",
"postal_code": "801349458",
"telephone_number": "317-459-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8683 E LINCOLN AVE STE 130",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801249812",
"telephone_number": "317-459-0738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN DENTAL ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-10",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "YANCEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "DENTIST ANESTHESIOLOGIST",
"authorized_official_telephone_number": "317-459-0738",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunshine Dental Anesthesia",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.