Organization Active NPI

Dragonfly Holdings Professional LLC

  • Dentist
  • Denver, CO
National Provider Identifier
1407929862
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9028 Issued in CO
Legal business name
DRAGONFLY HOLDINGS PROFESSIONAL LLC
Practice address
2020 South Parker Road Suite F
Denver, CO 80231
Phone
(303) 752-2777
Fax
(303) 752-2780
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Mr. Garry Stephen Schubert
Title
Manager
Phone
(303) 752-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9028 CO Primary

Addresses

Primary practice location

2020 South Parker Road Suite F
Denver, CO 80231

Mailing address

2020 South Parker Road Suite F
Denver, CO 80231
Phone (303) 752-2777

Other names 1

  • Dayton Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1407929862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SOUTH PARKER ROAD SUITE F",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231",
            "telephone_number": "303-752-2777",
            "fax_number": "303-752-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SOUTH PARKER ROAD SUITE F",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231",
            "telephone_number": "303-752-2777",
            "fax_number": "303-752-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY HOLDINGS PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "SCHUBERT",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-752-2777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2015; 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.