Organization Active NPI

Children's Dental Health Center, P.C.

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1376543850
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHILDREN'S DENTAL HEALTH CENTER, P.C.
Practice address
2295 S Chambers Rd
#E
Aurora, CO 80014-4544
Phone
(303) 751-6511
Fax
(303) 283-5944
NPI assigned
Jul 27, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
John Burtenshaw, DDSNPI 1285854703
Title
Owner
Phone
(303) 751-6511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2295 S Chambers Rd
#E
Aurora, CO 80014-4544

Mailing address

2295 S Chambers Rd
#E
Aurora, CO 80014-4544
Phone (303) 751-6511

Other identifiers 1

IdentifierTypeStateIssuer
41537815MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Children's Dental Health Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2295 S Chambers Rd
Ste E
Aurora, CO 80014
Phone (303) 751-6511

Practitioners & affiliated clinicians

Practitioners 1

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": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376543850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 S CHAMBERS RD",
            "address_2": "#E",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144544",
            "telephone_number": "303-751-6511",
            "fax_number": "303-283-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S CHAMBERS RD",
            "address_2": "#E",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144544",
            "telephone_number": "303-751-6511",
            "fax_number": "303-283-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURTENSHAW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-751-6511",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41537815",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.