Advanced Dental Arts

Primary specialty

DentistTaxonomy code 122300000X

License

105939 Issued in CO

Legal business name

ADVANCED DENTAL ARTS

Practice address

8770 Wadsworth Blvd
Arvada, CO 80003

Phone

(303) 422-2020

Fax

(303) 422-8186

NPI assigned

Jun 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall SimonNPI 1619198413

Title

Owner

Phone

(303) 422-2020

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, and the practitioner matching its NPPES authorized official.

• Randall Scott Simon, DDS

  • Dentist
  • Arvada, CO
  • NPI 1619198413
  NPD (past) Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467480541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8770 WADSWORTH BLVD",
            "address_2": "ADVANCED DENTAL ARTS",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-422-2020",
            "fax_number": "303-422-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-422-2020",
            "fax_number": "303-422-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-422-2020"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "105939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Arvada, CO
• Providers in Arvada, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.