Organization Active NPI

Sunrise Pediatric Dentistry PLLC

  • Dental Clinic/Center
  • Denver, CO
National Provider Identifier
1275919870
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10769 Issued in CO
Legal business name
SUNRISE PEDIATRIC DENTISTRY PLLC
Practice address
3650 E 1St Ave
Ste. 301
Denver, CO 80206-5500
Phone
(720) 660-2467
Fax
(206) 312-2950
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Dr. Elizabeth Diana Crespi, DMDNPI 1891922258
Title
Owner
Phone
(720) 660-2467

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 10769 CO Primary

Addresses

Primary practice location

3650 E 1St Ave
Ste. 301
Denver, CO 80206-5500

Mailing address

3650 E. 1St Avenue
Ste. 301
Denver, CO 80206-5507
Phone (720) 660-2467

National Provider Directory

National Provider Directory

Locations

3650 E 1st Ave
Ste 301
Denver, CO 80206
Phone (617) 953-4021

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": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1275919870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 E. 1ST AVENUE",
            "address_2": "STE. 301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065507",
            "telephone_number": "720-660-2467",
            "fax_number": "206-312-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E 1ST AVE",
            "address_2": "STE. 301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065500",
            "telephone_number": "720-660-2467",
            "fax_number": "206-312-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "CRESPI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-660-2467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.