Active NPI
Little Rockies Pediatric Dentistry
- Pediatric Dentistry
- Parker, CO
National Provider Identifier
1487087326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 00201885
- Legal business name
- LITTLE ROCKIES PEDIATRIC DENTISTRY
- Practice address
- 10371 Parkglenn Way
Suite 260
Parker, CO 80138-3885 - Phone
- (720) 367-5271
- NPI assigned
- Aug 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew F Brady, DDS
- Title
- Owner
- Phone
- (720) 638-6114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 00201885 | CO | Primary |
Addresses
Primary practice location
10371 Parkglenn Way
Suite 260
Parker, CO 80138-3885
Mailing address
10371 Parkglenn Way
Suite 260
Parker, CO 80138-3885
Phone (720) 367-5271
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1487087326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10371 PARKGLENN WAY",
"address_2": "SUITE 260",
"city": "PARKER",
"state": "CO",
"postal_code": "801383885",
"telephone_number": "720-367-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10371 PARKGLENN WAY",
"address_2": "SUITE 260",
"city": "PARKER",
"state": "CO",
"postal_code": "801383885",
"telephone_number": "720-367-5271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE ROCKIES PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-638-6114",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "00201885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.