Active NPI
Larry J Oneill DMD PC
- Dental Clinic/Center
- Elizabeth, CO
National Provider Identifier
1386905057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LARRY J ONEILL DMD PC
- Practice address
- 779 Crossroads CR
Elizabeth, CO 80107-2466 - Phone
- (303) 646-3935
- Fax
- (303) 379-5380
- NPI assigned
- May 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry J Oneill, DMD
- Title
- President
- Phone
- (303) 646-3935
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | 7544 | CO |
Addresses
Primary practice location
779 Crossroads CR
Elizabeth, CO 80107-2466
Mailing address
779 Crossroads Circle
#2466
Elizabeth, CO 80107-2466
Phone (720) 646-3953
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386905057 | Other | NPPES | |
| 1174521348 | Other | NPPES | |
| 1760084826 | Other | NPPES |
Other names 1
- Twin Aspen Dental Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.runningcreekdental.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617667200000",
"number": "1386905057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "779 CROSSROADS CIRCLE",
"address_2": "#2466",
"city": "ELIZABETH",
"state": "CO",
"postal_code": "801072466",
"telephone_number": "720-646-3953",
"fax_number": "303-379-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 CROSSROADS CR",
"city": "ELIZABETH",
"state": "CO",
"postal_code": "801072466",
"telephone_number": "303-646-3935",
"fax_number": "303-379-5380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY J ONEILL DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-30",
"last_updated": "2021-04-06",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "ONEILL",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-646-3935",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CO",
"license": "7544",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1386905057",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1174521348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1760084826",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.runningcreekdental.com",
"affiliation": "N",
"endpointDescription": "practice website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "779 Crossroads Cr",
"city": "Elizabeth",
"state": "CO",
"country_code": "US",
"postal_code": "801072466",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Twin Aspen Dental Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabeth, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.