Broomfield Premier Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BROOMFIELD PREMIER DENTISTRY, PC

Practice address

899 Hwy 287 Ste 600
Broomfield, CO 80020-7319

Phone

(303) 460-9366

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Dominic S Italia, DDSNPI 1184318776

Title

President

Phone

(303) 460-9366

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominic S Italia, DDS

  • Dentist
  • Broomfield, CO
  • NPI 1184318776
  NPD Authorized official
• Mary Elizabeth Peebles, DDS

  • General Practice Dentistry
  • Broomfield, CO
  • NPI 1992811939
  NPD (past)

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1316707359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 HWY 287 STE 600",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207319",
            "telephone_number": "303-460-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 HWY 287 STE 600",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207319",
            "telephone_number": "303-460-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOMFIELD PREMIER DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "ITALIA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-460-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broomfield Orthopedic Surgery Center, LLC
• Broomfield Orthopedic Surgery Center, LLC
• Broomfield Pediatrics PLLC
• Broomfield Pediatrics, Inc
• Broomfield Plaza Family Dentistry
• Broomfield Skilled Nursing and Rehabilitation Center, LLC
• Broomfield Skilled Nursing and Rehabilitation Center, LLC
• Cora Brotherton
• Catherine Brown, LPCC
• Erin Brown, COTA/L

• Dental Clinic/Center in Broomfield, CO
• Providers in Broomfield, 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 19, 2024; 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.