Perfect Teeth - Commerce City P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5496 Issued in CO

Legal business name

PERFECT TEETH - COMMERCE CITY P.C.

Practice address

15200 E. 104TH Ave.
Commerce City, CO 80022

Phone

(303) 853-0003

Fax

(303) 853-0005

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Laurie Kay Arbuckle

Title

Credentialing Manager

Phone

(303) 285-6098

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul Stavrakas, D.D.S.

  • Dentist
  • Broomfield, CO
  • NPI 1528419025

  General Practice

  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1417320623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 E. 104TH AVE.",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "80022",
            "telephone_number": "303-853-0003",
            "fax_number": "303-853-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 E. 104TH AVE.",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "80022",
            "telephone_number": "303-853-0003",
            "fax_number": "303-853-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - COMMERCE CITY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "303-285-6098"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Gastroenterology Consultants PC
• Pedorthic Clinic of the Rockies, Inc
• Ana Silvia Perea, MA, CCC-SLP
• Kiana Monique Perez-Jimenez
• Erika Elizabeth Perez, LPCC
• Elizabeth Anne Peters, M.S.W.
• Nicholas Joel Petrucelli, CAC III
• Brenda Pfeifer
• Pinnacle Health Facilities Xvi LP
• Pinnacle Health Facilties Xvi, L.P.

• General Practice Dentistry in Commerce City, CO
• Providers in Commerce City, 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 Nov 10, 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.