NPIMap

Organization Active NPI

Front Range Smiles, PLLC

  • Dental Clinic/Center
  • Parker, CO
National Provider Identifier
1417366790
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10762 Issued in CO
Legal business name
FRONT RANGE SMILES, PLLC
Practice address
8870 N Sundown TRL
Parker, CO 80134
Phone
(720) 666-1162
Fax
(720) 222-5169
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Dr. Nathaniel Conrad Cejka, DDSNPI 1215291885
Title
Owner, Doctor
Phone
(720) 666-1162

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
Dental Clinic/Center 261QD0000X 10762 CO Primary

Addresses

Primary practice location

8870 N Sundown TRL
Parker, CO 80134

Mailing address

11223 Jansen St.
Parker, CO 80134
Phone (720) 666-1162

Other names 1

  • Springs Youth Dentistry, PC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1417366790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 JANSEN ST.",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-666-1162",
            "fax_number": "720-222-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 N SUNDOWN TRL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-666-1162",
            "fax_number": "720-222-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "CEJKA",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "720-666-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springs Youth Dentistry, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Springs Youth Dentistry, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.