Organization Active NPI

Orchard Cosmetic & Family Dental

  • Dentist
  • Westminster, CO
National Provider Identifier
1467702852
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10061 Issued in CO
Legal business name
ORCHARD COSMETIC & FAMILY DENTAL
Practice address
14694 Orchard Pkwy
Westminster, CO 80023-9197
Phone
(303) 501-0763
Fax
(303) 371-1876
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Stephanie Rose
Title
Practice Manager
Phone
(303) 501-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10061 CO Primary

Addresses

Primary practice location

14694 Orchard Pkwy
Westminster, CO 80023-9197

Mailing address

14694 Orchard Pkwy
Westminster, CO 80023-9197
Phone (303) 501-0763

Other identifiers 1

IdentifierTypeStateIssuer
1265421077OtherCOINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1467702852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14694 ORCHARD PKWY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239197",
            "telephone_number": "303-501-0763",
            "fax_number": "303-371-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14694 ORCHARD PKWY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239197",
            "telephone_number": "303-501-0763",
            "fax_number": "303-371-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD COSMETIC & FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-501-0763"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265421077",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.