NPIMap

Organization Active NPI

Rocky Mountain Dental Implant Center

  • Dentist
  • Denver, CO
National Provider Identifier
1356686182
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN 9555 Issued in CO
Legal business name
ROCKY MOUNTAIN DENTAL IMPLANT CENTER
Practice address
1900 16TH St
Suite 1150
Denver, CO 80202-5120
Phone
(303) 515-6700
Fax
(888) 484-0355
NPI assigned
Dec 5, 2012
Last updated
Dec 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Justin David Moody, DDS
Title
Owner/Sole MBR
Phone
(303) 515-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN 9555 CO Primary

Addresses

Primary practice location

1900 16TH St
Suite 1150
Denver, CO 80202-5120

Mailing address

1900 16TH St
Suite 1150
Denver, CO 80202-5120
Phone (303) 515-6700

Other names 1

  • The Dental Implant Center Other name

National Provider Directory

National Provider Directory

Locations

1900 16th St
Ste 1150
Denver, CO 80202
Phone (303) 515-6700

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1356686182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 16TH ST",
            "address_2": "SUITE 1150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025120",
            "telephone_number": "303-515-6700",
            "fax_number": "888-484-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 16TH ST",
            "address_2": "SUITE 1150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025120",
            "telephone_number": "303-515-6700",
            "fax_number": "888-484-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/SOLE MBR",
        "authorized_official_telephone_number": "303-515-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN 9555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Implant Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 5, 2012; 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.