Brian A Sider, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203596 Issued in CO

Practice address

10000 Commons St
Lone Tree, CO 80124-5501

Phone

(303) 790-8080

NPI assigned

Sep 8, 2011

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lone Tree Dentists, LLP

  dba Lone Tree Dentists / My Kids Dentist and Orthodontics

  • General Practice Dentistry
  • Lone Tree, CO
  • NPI 1144534231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1275814832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 COMMONS ST",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 COMMONS ST",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245501",
            "telephone_number": "303-790-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDER",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19541",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Shepela, MD
• Kelly O'Hear Sheppard, M.D.
• Benjamin A Sherer, M.D.
• Shine Dental Arts, LLC
• Melissa L Shurigar-Myers, N.P.
• Brent C Sigler, MD
• Wyatt Graham Sikora, PA-C
• Joseph Carl Silvernail, DC
• Noah Chaim Simon, MD
• James Alan Simonson, O.D.

• General Practice Dentistry in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.