Organization Active NPI

Paloma Dental, PLLC

  • Dentist
  • Denver, CO
National Provider Identifier
1306507736
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PALOMA DENTAL, PLLC
Practice address
1225 35TH St
Denver, CO 80205
Phone
(720) 440-7743
Fax
(719) 414-0027
NPI assigned
Jan 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Angel Gimenez, DDS
Title
Credentialing Senior Manager
Phone
(719) 300-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1225 35TH St
Denver, CO 80205

Mailing address

1225 35TH St
Denver, CO 80205-2404
Phone (720) 440-7743

Other names 1

  • Paloma Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain Smiles PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1306507736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 35TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052404",
            "telephone_number": "720-440-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 35TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80205",
            "telephone_number": "720-440-7743",
            "fax_number": "719-414-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "GIMENEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING SENIOR MANAGER",
        "authorized_official_telephone_number": "719-300-5933",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paloma Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paloma Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2026; 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.