Organization Active NPI

Open and Affordable Dental Lafayette PLLC

Doing business as Open and Affordable Dental Lafayette

  • Dentist
  • Lafayette, CO
National Provider Identifier
1386420065
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OPEN AND AFFORDABLE DENTAL LAFAYETTE PLLC
Doing business as
Open and Affordable Dental Lafayette
Practice address
400 W Baseline Rd
Lafayette, CO 80026-1995
Phone
(720) 319-7170
NPI assigned
Sep 7, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Carly Woods
Title
Chief Operations Officer
Phone
(720) 280-6584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

400 W Baseline Rd
Lafayette, CO 80026-1995

Mailing address

400 W Baseline Rd
Lafayette, CO 80026-1995
Phone (720) 319-7170

Other names 1

  • Open and Affordable Dental Lafayette Doing business as

National Provider Directory

National Provider Directory

Locations

400 W Baseline Rd
Lafayette, CO 80026
Phone (720) 319-7170

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": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1386420065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W BASELINE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261995",
            "telephone_number": "720-319-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BASELINE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261995",
            "telephone_number": "720-319-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN AND AFFORDABLE DENTAL LAFAYETTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "720-280-6584"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open and Affordable Dental Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.