Active NPI
Constanza Liliana Cubillos, DDS
- General Practice Dentistry
- Lafayette, CO
National Provider Identifier
1275772774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9840
- Practice address
- 535 W S Boulder Rd Ste 200
Lafayette, CO 80026-2094 - Phone
- (303) 604-2804
- NPI assigned
- Feb 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9840 | CO | Primary |
Addresses
Primary practice location
535 W S Boulder Rd Ste 200
Lafayette, CO 80026-2094
Mailing address
4550 Cherry Creek South Dr Apt 2208
Denver, CO 80246-1545
Phone (720) 448-4618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9840 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Dental Partners, Prof. LLP | General Practice | Past | Accepting new patients |
| 80TH and Sheridan Dental Prof LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Westminster, CO
- NPI 1194966382
-
- General Practice Dentistry
- Lafayette, CO
- NPI 1417973025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233964800000",
"number": "1275772774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 CHERRY CREEK SOUTH DR APT 2208",
"city": "DENVER",
"state": "CO",
"postal_code": "802461545",
"telephone_number": "720-448-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 W S BOULDER RD STE 200",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262094",
"telephone_number": "303-604-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBILLOS",
"first_name": "CONSTANZA",
"middle_name": "LILIANA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-07",
"last_updated": "2009-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.