Denali Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENALI DENTAL

Practice address

11401 Washington St
Northglenn, CO 80233-1912

Phone

(719) 383-2083

NPI assigned

Nov 25, 2015

Last updated

Dec 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell Sefcik

Title

Owner

Phone

(719) 383-2083

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1295109460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 WASHINGTON ST",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331912",
            "telephone_number": "719-383-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 WASHINGTON ST",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331912",
            "telephone_number": "719-383-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "SEFCIK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-383-2083"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75276062",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor De Catron, LCSW
• Aluvia De la Rocha Dominguez
• Sandra Decarolis, NCC, LPC
• Megan Marie Decorte, LCSW
• Donna Frances Degeorge, PHD
• Christine E Dennis, BA
• Varina C Denny
• Denver Physicians Group Physical Therapy
• Denver Recovery Group LLC
• Denver Recovery Group LLC

• General Practice Dentistry in Northglenn, CO
• Providers in Northglenn, 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 Dec 9, 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.