Elite Dental Group Lafayette Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE DENTAL GROUP LAFAYETTE INC

Practice address

1120 W South Boulder Rd Ste 202
Lafayette, CO 80026-8952

Phone

(303) 666-4653

NPI assigned

Jun 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kyu Hyuk Jung, DDSNPI 1396261251

Title

President/Dentist

Phone

(303) 666-4653

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Group Lafayette Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyu Hyuk Jung, DDS

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1396261251
  NPD (past) Authorized official
• Steven Lynn Eurich, D.D.S.

  • Dentist
  • Lafayette, CO
  • NPI 1568677821
  NPD (past)

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1396439741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W SOUTH BOULDER RD STE 202",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268952",
            "telephone_number": "303-666-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W SOUTH BOULDER RD STE 202",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268952",
            "telephone_number": "303-666-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL GROUP LAFAYETTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "KYU",
        "authorized_official_middle_name": "HYUK",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "303-666-4653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental Group Lafayette",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Dental Group Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Nicole Eisenreich, P.A.
• Jennifer L Eisenstein, MD
• Ben B Elder Jr., D.C.
• Stephanie Veronica Eldred, MD
• Brendan Eliot
• Donna M Ellinger, OD
• Julie Elizabeth Elliott-Byers, M.A
• Kathryn A Elliott
• Laura L Elliott, RPH
• Lorie Elliott

• All providers in Lafayette, CO
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.