NPIMap

Organization Active NPI

Colorado Dental Orthodontist Practice, PLLC

Doing business as Lone Tree Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lone Tree, CO
National Provider Identifier
1457934671
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC
Doing business as
Lone Tree Orthodontics
Practice address
10461 Park Meadows Dr Ste 101
Lone Tree, CO 80124-5310
Phone
(303) 534-2626
NPI assigned
May 5, 2021
Organization subpart
Yes
Parent organization
COLORADO DENTAL ORTHODONTIST PRACTICE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Michelle Johnson
Title
Credentialing Specialist
Phone
(509) 315-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10461 Park Meadows Dr Ste 101
Lone Tree, CO 80124-5310

Mailing address

10461 Park Meadows Dr Ste 101
Lone Tree, CO 80124-5310

Other names 1

  • Lone Tree Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address metro@peakdentalservices.com

National Provider Directory

National Provider Directory
Tax ID family
Colorado Dental Orthodontist Practice PLLC13 organizations share this tax ID, including this one
Part of
Colorado Dental Orthodontist Practice PLLC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10461 Park Meadows Dr
Ste 101
Lone Tree, CO 80124
Phone (303) 534-2626

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1457934671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 PARK MEADOWS DR STE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 PARK MEADOWS DR STE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245310",
            "telephone_number": "303-534-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-315-8338"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "metro@peakdentalservices.com",
            "affiliation": "N",
            "address_1": "10461 Park Meadows Dr Ste 101",
            "city": "Lone Tree",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801245310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lone Tree Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.