NPIMap

Organization Active NPI

Old Town Dental LLC

  • Dentist
  • Littleton, CO
National Provider Identifier
1306125182
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6844 Issued in CO
Legal business name
OLD TOWN DENTAL LLC
Practice address
5419 S Curtice St
Littleton, CO 80120-1103
Phone
(303) 798-4515
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Shawn Patrick Maloy, DDSNPI 1427056753
Title
Dentist
Phone
(303) 798-4515

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6844 CO Primary

Addresses

Primary practice location

5419 S Curtice St
Littleton, CO 80120-1103

Mailing address

5419 S Curtice St
Littleton, CO 80120-1103
Phone (303) 798-4515

National Provider Directory

National Provider Directory

Locations

5419 S Curtice St
Littleton, CO 80120
Phone (303) 798-4515

Practitioners & affiliated clinicians

Practitioners 2

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": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1306125182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 S CURTICE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201103",
            "telephone_number": "303-798-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 S CURTICE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201103",
            "telephone_number": "303-798-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "MALOY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-798-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "6844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.