NPIMap

Organization Active NPI

Treasured Teeth Thornton, PLLC

  • Pediatric Dentistry
  • Thornton, CO
National Provider Identifier
1306264262
Registry record updated Mar 28, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9579 Issued in CO
Legal business name
TREASURED TEETH THORNTON, PLLC
Practice address
9880 Grant St
Thornton, CO 80229-2156
Phone
(970) 240-8694
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Derren Tippets, DMD
Title
Dentist / Owner
Phone
(970) 240-8694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 9579 CO Primary

Addresses

Primary practice location

9880 Grant St
Thornton, CO 80229-2156

Mailing address

100 Tessitore CT
Unit C
Montrose, CO 81401-5689
Phone (970) 240-8694

National Provider Directory

National Provider Directory

Locations

100 Tessitore Ct
Unit C
Montrose, CO 81401
Phone (856) 206-2164

9880 Grant St
Thornton, CO 80229
Phone (970) 240-8694

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1306264262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TESSITORE CT",
            "address_2": "UNIT C",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015689",
            "telephone_number": "970-240-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 GRANT ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292156",
            "telephone_number": "970-240-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURED TEETH THORNTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "TIPPETS",
        "authorized_official_first_name": "DERREN",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "970-240-8694",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.