NPIMap

Organization Active NPI

Dental Lifeline Network Colorado

  • Voluntary or Charitable Agency
  • Denver, CO
National Provider Identifier
1396033684
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
DENTAL LIFELINE NETWORK COLORADO
Practice address
1800 15TH St
Suite 100
Denver, CO 80202-6100
Phone
(303) 534-5360
Fax
(303) 534-5290
NPI assigned
Jul 20, 2011
Last updated
Jul 20, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL LIFELINE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Ms. Melissa Bosworth
Title
Vice President Affiliate Operations
Phone
(720) 287-6184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

1800 15TH St
Suite 100
Denver, CO 80202-6100

Mailing address

1800 15TH St
Suite 100
Denver, CO 80202-6100
Phone (303) 534-5360

Other names 1

  • Colorado Foundation of Dentistry for the Handicapped Former legal business name

National Provider Directory

National Provider Directory

Locations

1800 15th St
Ste 100
Denver, CO 80202
Phone (303) 534-5360

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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1396033684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 15TH ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026100",
            "telephone_number": "303-534-5360",
            "fax_number": "303-534-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 15TH ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026100",
            "telephone_number": "303-534-5360",
            "fax_number": "303-534-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL LIFELINE NETWORK COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL LIFELINE NETWORK",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "BOSWORTH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "VICE PRESIDENT AFFILIATE OPERATIONS",
        "authorized_official_telephone_number": "720-287-6184",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Foundation of Dentistry for the Handicapped",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.