Organization Active NPI

Stonehenge Dental Clinic, LLC

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1366749467
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3536 Issued in CO
Legal business name
STONEHENGE DENTAL CLINIC, LLC
Doing business as
James R. Bartlett, DDS Sole Member
Practice address
12331 E Cornell Ave
#20
Aurora, CO 80014-3323
Phone
(303) 745-7777
Fax
(303) 755-9014
NPI assigned
Feb 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Dr. James R. Bartlett Sr., D.D.S.
Title
Sole Member
Phone
(303) 745-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3536 CO Primary

Addresses

Primary practice location

12331 E Cornell Ave
#20
Aurora, CO 80014-3323

Mailing address

12331 E Cornell Ave
#20
Aurora, CO 80014-3323
Phone (303) 745-7777

Other identifiers 1

IdentifierTypeStateIssuer
02035368MedicaidCO

Other names 1

  • James R. Bartlett, DDS Sole Member Doing business as

National Provider Directory

National Provider Directory

Locations

12331 E Cornell Ave
#20
Aurora, CO 80014
Phone (303) 745-7777

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1366749467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12331 E CORNELL AVE",
            "address_2": "#20",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "303-745-7777",
            "fax_number": "303-755-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12331 E CORNELL AVE",
            "address_2": "#20",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "303-745-7777",
            "fax_number": "303-755-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHENGE DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "303-745-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02035368",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James R. Bartlett, DDS Sole Member",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.