Integrative Dental Solutions, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

202597 Issued in CO

Legal business name

INTEGRATIVE DENTAL SOLUTIONS, PLLC

Doing business as

Mainstreet Dental

Practice address

19751 E Mainstreet Ste R8
Parker, CO 80138-7392

Phone

(303) 955-8490

NPI assigned

Mar 3, 2018

Last updated

Mar 3, 2018By 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

Dr. Erik Chestnut, DDSNPI 1013384759

Title

Owner/President

Phone

(303) 955-8490

Specialties & licenses 1

Addresses

Other names 1

• Mainstreet Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erik Chestnut, D.D.S.

  • Dentist
  • Parker, CO
  • NPI 1013384759
  Authorized official Same address or phone

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

{
    "created_epoch": "1520035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520035200000",
    "number": "1316449523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19751 E MAINSTREET STE R8",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19751 E MAINSTREET STE R8",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387392",
            "telephone_number": "303-955-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE DENTAL SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-03",
        "last_updated": "2018-03-03",
        "status": "A",
        "authorized_official_last_name": "CHESTNUT",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-955-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "202597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mainstreet Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Parker, CO
• Providers in Parker, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2018; 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.