Organization Active NPI

Comfort Dental South East

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1417116310
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMFORT DENTAL SOUTH EAST
Practice address
1999 S Havana St Unit a
Aurora, CO 80014-1011
Phone
(303) 338-8181
Fax
(303) 752-2568
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Lizbeth Rodriguez
Title
Patient Coordinator
Phone
(303) 338-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CO Primary

Addresses

Primary practice location

1999 S Havana St Unit a
Aurora, CO 80014-1011

Mailing address

1999 S Havana St Unit a
Aurora, CO 80014-1011
Phone (303) 338-8181

Other identifiers 1

IdentifierTypeStateIssuer
04019196MedicaidCO

National Provider Directory

National Provider Directory

Locations

1999 S Havana St
Ste A
Aurora, CO 80014
Phone (303) 338-8181

3488 S Willow St
Denver, CO 80231
Phone (303) 338-8181

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1417116310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 S HAVANA ST UNIT A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141011",
            "telephone_number": "303-338-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 S HAVANA ST UNIT A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141011",
            "telephone_number": "303-338-8181",
            "fax_number": "303-752-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL SOUTH EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LIZBETH",
        "authorized_official_title_or_position": "PATIENT COORDINATOR",
        "authorized_official_telephone_number": "303-338-8181"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04019196",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.