Organization Active NPI

Little Rockies Pediatric Dentistry

  • Pediatric Dentistry
  • Parker, CO
National Provider Identifier
1487087326
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
00201885 Issued in CO
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

Updated by the provider on Aug 14, 2013

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.