Individual provider Active NPI

Pamela Jean Daiss-Sitzmann, D.D.S.

  • General Practice Dentistry
  • Parker, CO
National Provider Identifier
1356464168
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6062 Issued in CO
Practice address
9235 Crown Crest Blvd Ste 230
Parker, CO 80138-8807
Phone
(303) 693-5297
Fax
(303) 693-1884
NPI assigned
Apr 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6062 CO Primary

Addresses

Primary practice location

9235 Crown Crest Blvd Ste 230
Parker, CO 80138-8807

Mailing address

9235 Crown Crest Blvd Ste 230
Parker, CO 80138-8807
Phone (303) 693-5297

Other practice location 1

17821 Cottonwood Dr
Parker, CO 80134-3989
Phone (303) 693-5297

Other names 1

  • Dr. Pamela Jean Daiss-Ehrhard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6062COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356464168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD STE 230",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388807",
            "telephone_number": "303-693-5297",
            "fax_number": "303-693-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD STE 230",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388807",
            "telephone_number": "303-693-5297",
            "fax_number": "303-693-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17821 Cottonwood Dr",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343989",
            "country_code": "US",
            "telephone_number": "303-693-5297",
            "fax_number": "303-693-1884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAISS-SITZMANN",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DAISS-EHRHARD",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.