Trent Russell Redfearn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9684 Issued in CO

Practice address

4185 E Wildcat Reserve Pkwy
Suite 300
Highlands Ranch, CO 80126-6801

Phone

(303) 683-2300

Fax

(303) 346-8014

NPI assigned

Jun 26, 2008

Last updated

Aug 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1437311941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 E WILDCAT RESERVE PKWY",
            "address_2": "SUITE 300",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801266801",
            "telephone_number": "303-683-2300",
            "fax_number": "303-346-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 E WILDCAT RESERVE PKWY",
            "address_2": "SUITE 300",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801266801",
            "telephone_number": "303-683-2300",
            "fax_number": "303-346-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFEARN",
        "first_name": "TRENT",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Highlands Ranch, CO
• Providers in Highlands Ranch, 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 Aug 16, 2011; 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.