Lone Tree Modern Dental, Professional

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

201999 Issued in CO

Legal business name

LONE TREE MODERN DENTAL, PROFESSIONAL

Doing business as

Lone Tree Modern Dental and Orthodontics

Practice address

9227 E Lincoln Ave
Suite #800
Lone Tree, CO 80124-5506

Phone

(720) 943-2153

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Amanda Hallinan, DMD

Title

Associate

Phone

(720) 943-2153

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Lone Tree Modern Dental and Orthodontics Doing business as

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1396147492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE",
            "address_2": "SUITE #800",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245506",
            "telephone_number": "720-943-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE",
            "address_2": "SUITE #800",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245506",
            "telephone_number": "720-943-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE TREE MODERN DENTAL, PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "HALLINAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "720-943-2153",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "201999",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "201999",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "201999",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "201999",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "201999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "201999",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Tree Modern Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lone Tree Dentists, LLP (Lone Tree Dentists / My Kids Dentist and Orthodontics)
• Lone Tree Emergency & Trauma Surgery Specialists
• Lone Tree Family Chiropractic and Injury Center, PC
• Lone Tree Family Practice Professional LLC
• Lone Tree Gentle Dental, LTD.
• Lone Tree Pathology
• Lone Tree Pediatric Dentistry
• Lone Tree Surgery Center, LLC
• Lone Tree Surgical Associates
• Sharmini Elizabeth Long, M.D.

• General Practice Dentistry in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.