Organization Active NPI

Gerald T Minick DDS Ms PC

Doing business as Minick Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aurora, CO
National Provider Identifier
1285771923
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9273 Issued in CO
Legal business name
GERALD T MINICK DDS MS PC
Doing business as
Minick Orthodontics
Practice address
6020 S Gun Club Rd Unit E1
Aurora, CO 80016-5302
Phone
(720) 277-5286
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Gerald T Minick, D.D,S, M.S.
Title
President
Phone
(303) 627-6212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9273 CO Primary

Addresses

Primary practice location

6020 S Gun Club Rd Unit E1
Aurora, CO 80016-5302

Mailing address

6020 S Gun Club Rd
Suite E-1
Aurora, CO 80016-5301
Phone (303) 627-6212

Other names 1

  • Minick Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1285771923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 S GUN CLUB RD",
            "address_2": "SUITE E-1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165301",
            "telephone_number": "303-627-6212",
            "fax_number": "303-627-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 S GUN CLUB RD UNIT E1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165302",
            "telephone_number": "720-277-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD T MINICK DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "MINICK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-627-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D,S, M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minick Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.