Pediatric Dental Group of Lafayette

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL GROUP OF LAFAYETTE

Practice address

300 Exempla Cir Ste 460
Lafayette, CO 80026

Phone

(720) 890-9494

Fax

(720) 890-1444

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Hartshorn

Title

Practice Manager

Phone

(720) 890-9494

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. David Strange Other name

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1326211863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR STE 460",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263396",
            "telephone_number": "720-890-9494",
            "fax_number": "720-890-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR STE 460",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "720-890-9494",
            "fax_number": "720-890-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL GROUP OF LAFAYETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "720-890-9494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39021378",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. David Strange",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr. David Strange",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Nicole Pearson
• Julie Ann Pearson, LPN
• Jennifer Elizabeth Peck, LSW
• Jessica Crystal Peck
• Tyson E Peck, RPH
• Pediatric Speech Associates
• Pamela M Pedler
• Peek Optometry, PLLC (Peek to Peak Vision & Boutique)
• Johanna Peltier, PA-C
• Katherine Elise Pemberton, MD

• Pediatric Dentistry in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.