Southpark Dentistry P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

10138 Issued in CO

Legal business name

SOUTHPARK DENTISTRY P.C.

Practice address

8199 Southpark LN
Suite 120
Littleton, CO 80120-5667

Phone

(303) 738-8826

Fax

(303) 738-8823

NPI assigned

May 1, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Bianca Elizabeth Hernandez

Title

Office Manager

Phone

(303) 738-8826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1316472079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8199 SOUTHPARK LN",
            "address_2": "SUITE 120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205667",
            "telephone_number": "303-738-8826",
            "fax_number": "303-738-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 SOUTHPARK LN",
            "address_2": "SUITE 120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205667",
            "telephone_number": "303-738-8826",
            "fax_number": "303-738-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPARK DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-738-8826",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Metro Mental Health LLC
• South Rocky Medical
• South Suburban Family Medicine
• South Sycamore Manor Cares LLC
• Southbridge Family Dentistry P.C.
• Southpark Orthodontics
• Southpark Physical Therapy
• Southpark Physical Therapy PC
• Southwest Counseling Associates
• Southwest Denver Eye Center LLC

• Dentist in Littleton, CO
• Providers in Littleton, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.