NPIMap

Organization Active NPI

Mountain Smiles - Aspen Dental, PLLC

Doing business as Aspen Dental

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1356190847
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOUNTAIN SMILES - ASPEN DENTAL, PLLC
Doing business as
Aspen Dental
Practice address
3300 E 1St Ave Ste 300
Denver, CO 80206-5806
Phone
(303) 399-0400
NPI assigned
May 16, 2024
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Nick Sundiam
Title
Credentialing Manager
Phone
(719) 300-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3300 E 1St Ave Ste 300
Denver, CO 80206-5806

Mailing address

3300 E 1St Ave Ste 300
Denver, CO 80206-5806
Phone (303) 399-0400

Other names 1

  • ASPEN DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

3300 E 1st Ave
Ste 300
Denver, CO 80206
Phone (303) 399-0400

Practitioners & affiliated clinicians

Practitioners 5

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": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1356190847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E 1ST AVE STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065806",
            "telephone_number": "303-399-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 1ST AVE STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065806",
            "telephone_number": "303-399-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - ASPEN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "SUNDIAM",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASPEN DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 16, 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.