NPIMap

Organization Active NPI

Altura Periodontics

  • Periodontics
  • Denver, CO
National Provider Identifier
1336294388
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
104955 Issued in CO
Legal business name
ALTURA PERIODONTICS
Practice address
3690 S Yosemite St
Denver, CO 80237-1827
Phone
(303) 695-0990
Fax
(303) 695-6915
NPI assigned
Jan 23, 2007
Last updated
Jun 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. Alan PomeranzNPI 1891721551
Title
Owner
Phone
(303) 609-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 104955 CO Primary

Addresses

Primary practice location

3690 S Yosemite St
Denver, CO 80237-1827

Mailing address

3690 S Yosemite St
Denver, CO 80237-1826
Phone (303) 695-0990

National Provider Directory

National Provider Directory

Locations

3690 S Yosemite St
Denver, CO 80237
Phone (303) 695-0990

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1336294388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 S YOSEMITE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371826",
            "telephone_number": "303-695-0990",
            "fax_number": "303-695-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 S YOSEMITE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371827",
            "telephone_number": "303-695-0990",
            "fax_number": "303-695-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTURA PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "POMERANZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-609-0990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "104955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 18, 2014; 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.