Open and Affordable Dental Commerce City PLLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC

Doing business as

Open and Affordable Dental Commerce City

Practice address

4972 E 62ND Ave Unit B1
Commerce City, CO 80022-3253

Phone

(303) 288-4969

Fax

(303) 288-4969

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Igor Traktinskiy, DDS

Title

Owner

Phone

(303) 260-9582

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Open and Affordable Dental Commerce City Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1376295691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 E 62ND AVE UNIT B1",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223253",
            "telephone_number": "303-288-4969",
            "fax_number": "303-288-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 E 62ND AVE UNIT B1",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223253",
            "telephone_number": "303-288-4969",
            "fax_number": "303-288-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "TRAKTINSKIY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-260-9582",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000161964",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "openandaffordable.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4972 E 62nd Ave Unit B1",
            "city": "Commerce City",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800223253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Open and Affordable Dental Commerce City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health Dentistry in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Public Health Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.