Organization Active NPI

Open and Affordable Dental at Brighton

  • Dentist
  • Brighton, CO
National Provider Identifier
1477911758
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202024 Issued in CO
Legal business name
OPEN AND AFFORDABLE DENTAL AT BRIGHTON
Practice address
1790 E Bridge St
Brighton, CO 80601-1934
Phone
(303) 644-5058
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Jason Stott, D.D.S.NPI 1366883399
Title
Owner
Phone
(303) 644-5058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN.00202024 CO Primary

Addresses

Primary practice location

1790 E Bridge St
Brighton, CO 80601-1934

Mailing address

1790 E Bridge St
Brighton, CO 80601-1934
Phone (303) 644-5058

Other identifiers 1

IdentifierTypeStateIssuer
96407069MedicaidCO

National Provider Directory

National Provider Directory

Locations

1790 E Bridge St
Brighton, CO 80601
Phone (303) 644-5058

Practitioners & affiliated clinicians

Practitioners 1

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": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1477911758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806011934",
            "telephone_number": "303-644-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806011934",
            "telephone_number": "303-644-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN AND AFFORDABLE DENTAL AT BRIGHTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "STOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-644-5058",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96407069",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.