Retro Dental Group Broomfield

Primary specialty

DentistTaxonomy code 122300000X

License

9773 Issued in CO

Legal business name

RETRO DENTAL GROUP BROOMFIELD

Practice address

5105 120TH Ave
Broomfield, CO 80020

Phone

(818) 681-7700

NPI assigned

Apr 10, 2015

Organization subpart

Yes

Parent organization

RETRO DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Dr. Darren Kessler, DDS

Title

Dentist Owner

Phone

(818) 681-7700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1376939884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 120TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "818-681-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 120TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "818-681-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETRO DENTAL GROUP BROOMFIELD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETRO DENTAL GROUP",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "818-681-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomi Rendell, RN
• Catherine Denise Renella, ARNP
• Troy Justin Renfroe
• Mackenzie Julienne Reshew, CPNP-PC, RN
• Retro Dental Broomfield DBD, LLC
• Roger C Rettig, PT
• Suzette Monique Reuschel, DNP, WHNP, RNC
• Jolynne Reynolds, PH.D., LPC
• Angela Rhoades, RDH
• Julia Lee Wofford Rhoden, M.D.

• Dentist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.