Organization Active NPI

Kantor Dental Group 2, PLLC

  • Dental Clinic/Center
  • Thornton, CO
National Provider Identifier
1477018232
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KANTOR DENTAL GROUP 2, PLLC
Practice address
11979 Holly St
Thornton, CO 80233
Phone
(720) 739-0047
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Eric Appelsies
Title
President
Phone
(317) 270-0903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11979 Holly St
Thornton, CO 80233

Mailing address

10723 Fairgrove CT
Highlands Ranch, CO 80126-5749
Phone (317) 270-0903

Other names 1

  • Glacier Peak Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1477018232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10723 FAIRGROVE CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265749",
            "telephone_number": "317-270-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11979 HOLLY ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "720-739-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTOR DENTAL GROUP 2, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "APPELSIES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-270-0903"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier Peak Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glacier Peak Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.