Organization Active NPI

Little Parker Dental Center

  • Preferred Provider Organization
  • Parker, CO
National Provider Identifier
1376913756
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
6538 Issued in CO
Legal business name
LITTLE PARKER DENTAL CENTER
Practice address
10345 Parkglenn Way Ste 200
Parker, CO 80138-3884
Phone
(303) 841-7045
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. Terri Gillespie, D.D.S.
Title
Owner
Phone
(303) 841-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 6538 CO Primary

Addresses

Primary practice location

10345 Parkglenn Way Ste 200
Parker, CO 80138-3884

Mailing address

10345 Parkglenn Way Ste 200
Parker, CO 80138-3884

Other identifiers 1

IdentifierTypeStateIssuer
1740351303OtherCONPI

National Provider Directory

National Provider Directory

Locations

10345 Parkglenn Way
Ste 200
Parker, CO 80138
Phone (303) 841-7045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1376913756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 PARKGLENN WAY STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 PARKGLENN WAY STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383884",
            "telephone_number": "303-841-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE PARKER DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-841-7045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "6538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740351303",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 29, 2015; 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.