Individual provider Active NPI

Devin Kory Rentz

  • General Practice Dentistry
  • Parker, CO
National Provider Identifier
1457639866
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
201909 Issued in CO
Practice address
17021 Lincoln Ave Unit B
Parker, CO 80134-3146
Phone
(720) 851-7069
NPI assigned
Aug 2, 2011
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 201909 CO Primary

Addresses

Primary practice location

17021 Lincoln Ave Unit B
Parker, CO 80134-3146

Mailing address

17021 Lincoln Ave
Unit B
Parker, CO 80134-3146
Phone (720) 851-7069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301000468 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274838263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201909COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Devin K Rentz DDS PC Current Accepting new patients
Rentz Dentistry, PC Current Accepting new patients
Cornerstar Dental Group and Orthodontics General Practice Past Accepting new patients

Locations

17021 Lincoln Ave
Unit B
Parker, CO 80134
Phone (720) 371-2309

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1457639866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 LINCOLN AVE",
            "address_2": "UNIT B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343146",
            "telephone_number": "720-851-7069",
            "fax_number": "720-842-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 LINCOLN AVE UNIT B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343146",
            "telephone_number": "720-851-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTZ",
        "first_name": "DEVIN",
        "middle_name": "KORY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "201909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.