Organization Active NPI

Firestone Endodontics

  • Endodontics
  • Firestone, CO
National Provider Identifier
1396595393
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
FIRESTONE ENDODONTICS
Practice address
11411 Business Park Cir Ste 300
Firestone, CO 80504-9886
Phone
(303) 381-8303
NPI assigned
Mar 25, 2024
Last updated
Mar 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Alexandra Martella, DDS, MSNPI 1174923320
Title
Owner/Endodontist
Phone
(248) 854-8196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

11411 Business Park Cir Ste 300
Firestone, CO 80504-9886

Mailing address

5537 W 97TH CT
Westminster, CO 80020-5675
Phone (248) 854-8196

National Provider Directory

National Provider Directory

Locations

11411 Business Park Cir
Ste 300
Firestone, CO 80504
Phone (303) 381-8303

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": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1396595393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 W 97TH CT",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800205675",
            "telephone_number": "248-854-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BUSINESS PARK CIR STE 300",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805049886",
            "telephone_number": "303-381-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESTONE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "MARTELLA",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "248-854-8196",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Firestone, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.